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hey welcome back its the two boneheads howard locks and jeff burke again were bringing you 40 years of orthopedic experience uh hopefully helping you make better choices and be a little better prepared for your visits with the other orthopedists out there so today were going to talk about a hot topic what graft do you choose when you are thinking about an acl acl reconstruction so uh so the talk that i usually have with my patients is that the literature is a little uh unclear you cant always tell i im not able to tell what the best graft is but its easier for me to tell what the worst craft is so in the u.s theres three main graphs one is allograft which is other peoples tissue people die donate all kinds of things and they donate tissue that we can use for acl reconstruction theres patellar tendon people hear about and then uh hamstring grafts and between those three grafts it looks like if youre an active young person allograft is probably the worst of the three it looks