Abstract: Apparatus for tensioning a ligament graft includes a hydraulic tensioning cylinder with a piston having a distal end for holding and affixing, relative to the distal end of the piston, a free end of a ligament graft, where the other end of the ligament graft is affixed to a patient. An inflation device, in hydraulic communication with a cylinder, moves the piston to tension the graft.

Abstract: A suture locking fastener for surgical procedures. The one piece plastic molded fastener features a plurality of triangular-shaped leaves that are attached to a base. At least one of the leaves is attached to the base using a flexible hinge section thus permitting that leaf to articulate with respect to the base. The leaves are positioned at a predetermined angle relative to the horizontal that is at least 30 degrees, and, preferably, 45 degrees which permits a suture, either a thread or a plastic filament, to be held securely without deforming or cutting into it.