Quadrupled Soft-Tissue Graft Preparation With Adjustable Loop Devices for All-Inside Anterior and Posterior Cruciate Ligament Reconstructions-Small Steps for an Optimal Outcome.

Graft preparation is a key step during knee ligament reconstruction surgery, upon which much of the clinical outcome hinges. The optimal graft requires appropriate length, diameter, and strength to achieve bone graft integration and graft stability. This Technical Note aims to share a surgical technique for quadrupled graft preparation with adjustable loop devices for all-inside anterior and posterior cruciate ligament reconstructions with specific attention to details in suturing, tensioning, and graft material trimming.