Fig 7.

On a side table, the partial-thickness quadriceps (Quad) tendon graft is whipstitched at the tip with No. 5 Ethibond suture. The bone plug is gently tapered with a rongeur to a diameter of 9 mm and length of 15 mm. The bone–patellar tendon–bone (BPTB) anterior cruciate ligament (ACL) graft is prepared as well, with gentle tapering of both patellar plugs with a rongeur to fit a diameter of 10 mm. Two No. 5 Ethibond sutures are passed through two 1.5-mm drill holes made in each of the 2 patellar tendon bone plugs. (MCL, medial collateral ligament.)