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Patient positioning and graft preparation. (A) The patient is placed in a beach-chair position with the left shoulder, entire length of the clavicle, and sternoclavicular joint exposed. The left lower leg is also prepped and draped for gracilis harvest. (B) The gracilis graft is prepared with a no. 2 FiberWire locking whipstitch suture on each end to allow for ease of passage and tensioning. The graft should pass easily through a 4.8-mm-diameter tunnel.
