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foreign [Music] injuries are really common theyre very common in athletes in particular the ACL is a ligament thats in the center of the knee and it helps to stop the knee from twisting and pivoting that you go to plant and cut the ACL kind of keeps the knee stable and so most the time its injured in just kind of a non-contact sort of a thing open field on a soccer field or football field or basketball court or whatever sport or coming down awkwardly from a jump many times people feel or hear kind of a pop in their knee and reports feeling that their knee kind of shifted or did something you can live a pretty normal life without an ACL you can walk you can ride a bike but where it gets difficult is doing things that involve cutting planning pivoting and twisting so for athletes and people who are really active and want to not have limitations then we typically talk about fixing the ACL and traditionally that is meant doing ACL reconstruction where you take a graft which is a piece