The Hybrid Loop Button Quad is a femoral fixation device designed to attach single-ended Quadriceps grafts to the Hybrid Loop Button. It features an integrated Fiber flap tape, which creates a strong connection between the GraftStitch Suture and the Hybrid Loop Button loop. The Hybrid Loop Button Quad implant system offers improved performance by reducing the time required to prepare the quadriceps tendon graft. Its loop features micro-adjustability, allowing for short and precise adjustments of the graft. In terms of strength, the Hybrid Loop Button Quad implant boasts a flat-tape loop and tensioning strands that enhance its overall strength, feel, and handling. Additionally, the titanium cortical button incorporates a knotless four-point locking mechanism, increasing the implant’s strength and resistance to cyclic displacement.