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Clinical photographs depicting (A) harvested STT with attached periosteal sleeve that will be at the tibial end of the graft; the free flap that will be sutured onto the femoral end of the graft is also shown. (B-C) Quadrupled STT over a fixed loop button with attached periosteal sleeve enveloping the tibial end (white asterisk). (STT, semitendinosus tendon.)
