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so in in summary this first section here the quadriceps matter a lot and an open chain exercises are the only way we can hit those quadricep muscles sufficiently enough in those all-important first three to six months post-operative post-operatively and we canamp;#39;t get there alone with just squats or lunges or leg presses we we absolutely do need to get these new extensions into the program weamp;#39;re just going to be really careful and thoughtful about how we introduce them so these are my my key considerations when Iamp;#39;m looking at a patient um and and how are we going to go about introducing open chain exercises and what we know is that patellar tendon harvests seem to be a bit more resilient due to the Bone blocks at either end point um than that then the hamstring autographs or the quadricep tendon autographs and certainly more resilient than any allografts available so we know that we can be a little bit more aggressive early with full range exercise with patellar t