A tensioner system for use in graft strand tensioning and fixation in a knee reconstruction procedure, comprising: a handle assembly, the handle assembly includes a hollow outer handle body and an inner handle body slidably received within the outer handle body; a tensioner assembly coupled relative to the handle assembly, the tensioner assembly including: an arm support member rotatably coupled to the handle assembly; and first and second arm members each rotatably coupled to lateral sides of the arm support member, each arm member including at least one graft attachment area (166, 174, 178) adapted to be coupled to a graft strand, the arm support member configured to rotate about an axis perpendicular to a longitudinal axis of the tensioner system and perpendicular to an axis of rotation of each of the first and second arm members; a drive shaft slidably received through and supported by the handle assembly such that proximal and distal ends (298, 302) of the drive shaft extend beyond respective proximal and distal ends (42, 46) of the handle assembly; and a ratcheting member slidably received in the outer handle body and including a plurality of ratchet teeth in selective engagement with a pawl carried by the outer handle body, the ratchet teeth configured to maintain a position of the outer handle body relative to the ratcheting member upon movement of the outer handle body relative to the ratcheting member. a handle assembly, the handle assembly includes a hollow outer handle body and an inner handle body slidably received within the outer handle body; a tensioner assembly coupled relative to the handle assembly, the tensioner assembly including: an arm support member rotatably coupled to the handle assembly; and first and second arm members each rotatably coupled to lateral sides of the arm support member, each arm member including at least one graft attachment area (166, 174, 178) adapted to be coupled to a graft strand, the arm support member configured to rotate about an axis perpendicular to a longitudinal axis of the tensioner system and perpendicular to an axis of rotation of each of the first and second arm members; a drive shaft slidably received through and supported by the handle assembly such that proximal and distal ends (298, 302) of the drive shaft extend beyond respective proximal and distal ends (42, 46) of the handle assembly; and a ratcheting member slidably received in the outer handle body and including a plurality of ratchet teeth in selective engagement with a pawl carried by the outer handle body, the ratchet teeth configured to maintain a position of the outer handle body relative to the ratcheting member upon movement of the outer handle body relative to the ratcheting member. an arm support member rotatably coupled to the handle assembly; and first and second arm members each rotatably coupled to lateral sides of the arm support member, each arm member including at least one graft attachment area (166, 174, 178) adapted to be coupled to a graft strand, the arm support member configured to rotate about an axis perpendicular to a longitudinal axis of the tensioner system and perpendicular to an axis of rotation of each of the first and second arm members; a drive shaft slidably received through and supported by the handle assembly such that proximal and distal ends (298, 302) of the drive shaft extend beyond respective proximal and distal ends (42, 46) of the handle assembly; and a ratcheting member slidably received in the outer handle body and including a plurality of ratchet teeth in selective engagement with a pawl carried by the outer handle body, the ratchet teeth configured to maintain a position of the outer handle body relative to the ratcheting member upon movement of the outer handle body relative to the ratcheting member.