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[Applause] [Applause] yes i i donamp;#39;t like the word arthrofibrosis because i think itamp;#39;s far too frequently used and itamp;#39;s often a damn good excuse for a surgeon whoamp;#39;s got a bad result the truth is that when people genuinely have arthritis and they do it does okay but itamp;#39;s a global scarring of the whole joint so all this tears itamp;#39;s pretty uncommon i think there are some patients who i probably have one of these every two years or so and it tends to follow surgery that loss of range of movements are due to mechanical ipad scaring as weamp;#39;ll talk later on and actually itamp;#39;s the fault of the surgeon they shouldnamp;#39;t operate it when the knee would need to get the knee right or the surgery was bad so i donamp;#39;t like that term after fibrosis itamp;#39;s really really rare and most causes of loss of movement are other things itamp;#39;s an opportunity really before we get into the subject to understand some