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An alternate solution for ACL procedures using a quadrupled semitendinosus graft. Single Tendon ACL Reconstruction The UltraSTAR technique features a double-ULTRABUTTON◊ construct and may increase ACL-R success by lowering case morbidity rom reducing hamstring harvest (11), providing grafts with larger diameters and less displacement (1,2,3,4) all while maintaining your current trusted drilling technique. 1 - Sherman O. Editorial Commentary: Multiple-Strand Hamstring Autografts for Anterior Cruciate Ligament Reconstruction: If Graft Diameter Is at Least 8 Millimeters, Bigger May Not Be Better. Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2021; 37:586-587. 2 - Snaebjornsson T, Senorski E, Ayeni O, Alentorn-Gli E, Krupic F, Norber F, Karlsson J, Samuelsson K. Graft Diameter as a Predictor for Revision Anterior Cruciate Ligament Reconstruction and KOOS and EQ-5D Values. The American Journal of Sports Medicine. 2017; 45:2092-2097. 3 - Spragg L, Chen J, Mirzayan R, Love R, Maletis G. The Effect of Autologous Hamstring Graft Diameter on the Likelihood for Revision of Anterior Cruciate Ligament Reconstruction. The American Journal of Sports Medicine. 2016; 44:1475-1481. 4 - Arthrocare Corporation 2016. Test Report: Comparative Testing of ULTRABUTTON Adjustable Fixation Device to Competitive Devices P/N 69889-01 C. NOTE: The results of in vitro simulation testing have not been proven to predict clinical performance. 19485 V1 ULTRABUTTON ULTRAStar Tech 0220 This video is intended for health care professionals. It is offered for informational and educational purposes only and is not intended as medical advice. Viewer discretion is advised.