Graft passage. A, Femoral sutures are retrieved out medial portal. B, Blue and white sutures are passed through the femur and pulled together to advance the button out of femur. C, With slight tension on graft, the shortening strands are pulled proximally to advance graft; each strand is pulled in 2-cm increments. D and inset, Suture is cinched around end of TightRope ABS loop to use for passing. Tibial passing suture is used to deliver TightRope ABS loop and whipstitch sutures out of distal distally. E, Graft is advanced into tibia. F, Button is advanced to bone and graft is tensioned. G, Whipstitch sutures are loaded into button and a knot is tied for backup fixation. SEE TECHNIQUE 51.19.