1 3 5 Tunnel Graft Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Kinks; too deep Able to position No kinks; placement; directly graft adequately appropriate depth below distal with guidance graft; proximal to incision distal suture line Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA General Criteria Instrument Handling Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Tentative or Competent use Fluid movements awkward of instruments, with instruments movements, often occasionally consistently using did not visualize appeared appropriate force, tips of instrument awkward or did keeping tips in or clips poorly not visualize view, and placing placed instrument tips clips securely Respect for Tissue Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Frequent Careful tissue Consistently unnecessary handling, handled tissue tissue force or occasional carefully damage by inadvertent (appropriately), inappropriate damage minimal tissue instrument use damage Time and Motion Poor Fair Good Very Good Excellent 1 2 3 4 5 NA
1 3 5 Tunnel Graft Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Kinks; too deep placement; directly below distal incision Able to position graft adequately with guidance No kinks; appropriate depth graft; proximal to distal suture line Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA General Criteria Instrument Handling Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Tentative or awkward movements, often did not visualize tips of instrument or clips poorly placed Competent use of instruments, occasionally appeared awkward or did not visualize instrument tips Fluid movements with instruments consistently using appropriate force, keeping tips in view, and placing clips securely Respect for Tissue Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Frequent unnecessary tissue force or damage by inappropriate instrument use Careful tissue handling, occasional inadvertent damage Consistently handled tissue carefully (appropriately), minimal tissue damage Time and Motion Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA