The Adjustable Loop ABS Button Quad is a tibial fixation device designed to attach single-ended Quadriceps grafts to the Adjustable Loop ABS Button loop. It features an integrated Fiber flap tape, which creates a strong connection between the GraftStitch Suture and the Adjustable Loop ABS Button. The Adjustable Loop ABS Button Quad implant system offers improved performance by reducing the time required to prepare the quadriceps tendon graft. Its adjustable loop allows for maximum and precise adjustments of the graft inside the tunnel. In terms of strength, the Adjustable Loop ABS Button Quad implant boasts a flat-tape loop and tensioning strands that enhance its overall strength, feel, and handling. The ABS PEEK cortical button incorporates a knotless four-point locking mechanism, increasing the implant’s strength and resistance to cyclic displacement at same time provides radiolucency. Additionally, the button provides 100% radiolucency, allowing for clear visualization and monitoring.