“…An autologous tendon graft may be a better option, considering its properties, such as the low risk of transmitted diseases, lower failure rate, and cost-effectiveness. 1 , 18 In a cadaveric study, the mean gap between the lower trapezius tendon and lesser tuberosity was 10.9 (8.5-13.8) cm, 2 indicating that 10-15 cm of tendon graft length is required for adequate gap bridging and graft fixation. A previous study proposed semitendinosus autograft as an alternative graft choice, requiring two 10-cm hamstring tendon grafts.…”