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you thank you for for the kind introduction Iamp;#39;ll Iamp;#39;ll share with you a little bit my personal concepts and concepts that grow over the years on how to improve ACL surgical outcome and indications for anterolateral reconstructions we are recently I think since since 2013 really came up in the literature I was part of that reason on the anti lateral reconstruction this is my disclosure slide on the topic now Iamp;#39;ll start with some statements and some of these might be bold but I am a I am truly convinced that some nice are just prune to have an ACL injury while others are not and the athletes are a different animal within that comparison but yesterday we did a 14 year old kid with an ACL revision so there must be some factors that actually make you prune for an ACL injury and different factors that make you not prune for ACL injury and understanding these factors probably will make us better surgeons at the end of the game some variables we now are really aw