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basically we all see patients whove had an acl tear we often see the mri scan of the acls theres a little bit of straggly stuff here that an awful lot of not very impressive acl and what youll notice about this patient is this is the post reconstruction view so this is a failed acl reconstruction but we all think what we know when we say failed acl reconstruction but do we do we ever ask the patient have their instability been abolished oh yes of course you asked them are they able to get back to school now you ask them that as well did they have any complications you know about that because theyve had complications you tell you but when you get your orthopedic surgeon and you look at what theyre putting in their appraisal folder and what information is actually collated about them all you actually get is inpatient complications death read between 30 days of surgery and written complaints these are the only data surgeons are obliged to keep about their patients most decent surgeo