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so first of all why is there a risk of arthritis after an ACL chair so the anterior cruciated ligament is an important stabilizing structure of the knee joint it helps to prevent excessive forward translation of the tibia which is the shin bone and it also provides rotation stability to the knee joint so once the acyl is Stone the blood gets into the joint and we call this hemarthrosis and we speculate that the blood in the knee actually starts the information Cascade thereby increasing the risk for knee arthritis so when an acyl injury occurs it often leads damage to the cartilage and meniscus which in turn increases risk for osteoarthritis once the acyl is thrown the muzzle weakness starts to sudden which further increases the load on the knee joint most acyl injuries occur in athletes who then try to return to sports which theoretically increases the risk of further micro injuries to the cartilage and meniscus you