The EcoButton™ Flex Quad is a femoral fixation device designed to attach single-ended Quadriceps grafts to the EcoButton™ Flex loop. It features an integrated OsteoBraid™ flap tape, which creates a strong connection between the OsteoBraid™ GraftStitch Suture and the EcoButton™ Flex loop. The EcoButton™ Flex 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 EcoButton™ Flex 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.