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Suture passage into the anterior cruciate ligament stump (blue star) with an antegrade suture-passing device (Firstpass; red star) is performed from the anteromedial portal with No. 2 ultrahigh-molecular-weight polyethylene suture, with an attempt to crisscross the sutures in the stump from distal to proximal. This is performed through a flexible cannula (Passport) (not shown) to prevent any tissue bridges within each suture pass.
