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so the ACL reconstruction does a very good job of restoring stability if everything goes well but one quote unquote problem with it is that it doesnamp;#39;t guarantee that youamp;#39;re not going to get arthritis so if someone tears their ACL you got about a 50% chance of getting arthritis in that knee within 4 years if you tear your ACL and you get an ACL reconstruction where we make a new ligament itamp;#39;s very good at restoring stability at least 85 to 90% of the time itamp;#39;s not 100% but thereamp;#39;s still a 50% chance of getting arthritis it just pushes it off 12 to 14 years so if youamp;#39;re really young if youamp;#39;re like a 15y old and you tear your ACL and undergo an ACL reconstruction well in your late 20s you got at least a 50% chance of developing arthritis so thatamp;#39;s kind of the quote unquote problem or the Holy Grail that we have with ACL reconstructions got a problem with your knee call Dr P