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welcome back to acl academy this is dr khan today we are going to touch on acl graph choices so what over youre going to use for your new acl uh before i get into that if you guys have found value in the page please subscribe to the channel like this video and share with a friend spread the word so when were talking about acl um reconstruction uh we are talking about replacing the native acl ligament so when its torn that area does not have great blood supply usually a repair historically a repair is not possible and it needs to be replaced there are some new technologies coming out that were starting to utilize for repair procedures having said that the evidence is just not there yet uh so currently were still seeing a lot more reconstructions which is replacing the native uh acl versus repairs which is basically taking the tear and repairing it okay so when were talking about reconstruction well we have to use something to replace it with so what are the choices for your acl re