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This described technique requires the use of anterolateral, anteromedial, medial mid\u2010patellar, and lateral mid\u2010patellar portals. A suture hook loaded with No. 2 polydioxanone (PDS) was used to pierce the ACL through the anteromedial or anterolateral portal, and bioabsorbable suture anchors were inserted through the medial and lateral mid\u2010patellar portals. The five patients treated using this technique were evaluated at 1 year postoperatively. All patients showed bony union without anterior laxity or flexion contracture. 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