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[Applause] everybody Im dr. Bill Stewart uh were going to take this up a little bit right now people who come in have torn their ACL playing football playing basketball skiing in my world they go through ok what happens if I dont have surgery what happens if I do have surgery well whats the next step if I do have surgery what are the chances Im going to get back playing the sports I want to do and what are my risk of re-injuring it so this minute I just going to talk to you about the odds of you tearing your ACL a second time unfortunately so hopefully you never have to watch this video too hard but if you do these are the reasons so in a long-term study the French Alpine Ski Team more than 20% had torn their ACL a second time or an another 10% on the opposite knee so over 30% it had a second ACL injury of the out French Alpine Ski Team so ski racing in general especially once youve torn youre a failure at risk for carrying it again for just our standard recreational or high pro