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Two-strand and 4-strand graft preparation with 1 tendon. (1) Both ends of the tendon are sutured together. In 4-strand graft preparation, (2) a nonabsorbable suture is passed in the middle and the tendons are folded. (3) The needle is passed through the proximal part, grabbing and tensioning the distal part with the nonabsorbable suture.
