Abstract: A system for harvesting a tendon graft is disclosed, the system including a retractor, a guide and at least one harvesting tool. The retractor holds open an anatomic space in a patient above the tendon. The guide assembles with the retractor to orient a guide shaft along the retractor and thereby the anatomic space. A first harvesting tool and the guide include a plurality of surfaces that cooperate with each other to transect the tendon and form at least one side of the tendon graft, the plurality of surfaces cooperating to limit a trajectory and a depth of cut into the tendon and also limiting both ends of the translational extent of the harvesting tool along the tendon. A second harvesting tool may extend along the anatomic space formed by the retractor and form both a posterior cut along the tendon and transect a tendon graft end.

Abstract: Methods of coupling a suspensory fixation construct to a graft, to avoid graft folding while being drawn into a bone tunnel. The suspensory fixation construct may include an adjustable loop construct and a passing construct linked thereto. The method may include forming a running whipstitch along the graft and over a length of the adjustable loop construct such that the running whipstitch holds the adjustable loop construct length along and against the graft surface. The method may include coupling a portion of the passing construct to the adjustable loop construct after the suspensory fixation construct has been attached to the graft.