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8) Many methods of fixation for QTA have been described, including the quadriceps-tendon patellar-bone composite autograft (11); fixation of the graft, both in the femur and the tibia, using absorbable cross pins (16); and fixation of the patellar bone in the femoral tunnel, with the tendinous extremity of the graft pulled by nonabsorbable wires, remaining firmly fixed by a staple or a screw in the anterointernal cortex of the tibia.
 
 
 
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