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[Music] hi im dr elaine dealwort today im going to walk you through the steps of performing an acl reconstruction surgery the first step of any acl reconstruction surgery is actually to confirm the diagnosis once the anesthesiologist gets you off to sleep we do an examination on the table to ensure that the acl is actually deficient once im happy with that we then go directly towards grabbing the hamstring from the back of the knee we make a small incision at the front of the knee and we actually isolate the semitendinosus tendon then we use this fancy thing called the tendon stripper wrap it around that tenon and pass it up the back of the knee like so and the graft actually gets delivered right to the front of the knee for the sake of this exercise well use the shoe legs here and we take this to the back table and then we go ahead and we make our graft so we use implants called tightropes which actually has a little metal button and then this rope here thats going to be our anc