An instrument called a tendon stripper strips out the semitendinosis tendon.
The semitendinosus is folded and sutured to form a quadrupled graft of an appropriate width and length.
Quadrupled semitendinosus
To create a graft suitable for anterior cruciate ligament reconstruction, the semitendinosus can be harvested and quadrupled, with the segments being sewn together to make a strong construct.
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