The tendon graft shares the drill holes with the supportive No.5 suture. The passing sutures for the tendon graft and the No.5 interconnecting suture are pulled to the AL portal. The graft is always pulled first through the clavicular and coracoid drill holes.
The graft is then pulled out behind the clavicle through the C portal. The No. 5 suture loop is passed through the drill holes beside the graft and out through the AL portal (Fig 9 and 10).