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Tendon graft. The middle third of the tendon is used, aiming for a 15-mm length of bone from the patella and 20-mm length from the tibia. (A) Two holes are made in the tibial bone plug with a 2-mm drill bit (asterisk). (B) One hole is made in the patellar bone plug 5 mm from the tip (asterisks). (C) A suture is passed through the drill holes to allow graft shuttling, aiming for a reduced, 7- to 8-mm bone–patellar tendon–bone autograft (asterisks).
