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Reinforcement of the graft. For easier, the graft is first folded freely on the preparation board for the second time it should be folded over a suture sling attached to the board that is removed afterwards and the free ends are kept in place using a goiter grasping forceps (A). First, the free ends are prepared using an interlocking suturing technique with two size 2 nonabsorbable sutures (FiberWire; Arthrex). (B) Interlocking mechanism in a quadrupled semiT graft.
