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about 18 years ago this is back in a really kind of late 90s I had a private practice in Phoenix Arizona and over a two-week period of time I had 22 ACL reconstructions come into my office and that was a lot at that time and its really before a lot of the great research that was coming out now that we know about with Hewitt and powers and everybody else that had published a lot of good research on mechanisms that are associated with non-contact ACL injuries that research wasnt out there and so I felt really Im treating a lot of these kids a lot of these young kids and I just felt compelled to do something about it so for me its really kind of in this lifelong journey you know I started this 18 years ago and Ive kind of been pursuing it my entire professional career in trying to find it an answer I dont know if really there is an answer per se but I think theres better ways of doing it than what we currently do it today and thats really kind of whats driven me its driven me t