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Quadruple bundle ACL reconstruction technique utilizes double strand tendons and replicates the structure of the native ACL. Quadruple strand tendons can also be used PCL, or tendon soft tissue augmentation.

Tendon allografts remain an excellent repair option for any ligament repair procedure where prior reconstructions have failed or where tendon ruptures or tears are present.

Available quadruple strand tendons include:

▪ Semitendinosus / Gracilis

▪ Peroneous longus

▪ Tibialis
(https://jrfortho.org/)

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