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To repair the defect, the graft is sutured to the native quadriceps tendon using nonabsorbable sutures while maintaining adequate tension on the graft (A). After completing the repair, the quadriceps tendon is inspected and the tension checked (B). In addition, the knee is flexed and extended to check the tension on the repair during range on motion. It is important to check the tension on the repair to ensure that it is not too tight and to guide rehabilitation.
