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hello my name is daniel green iamp;#39;m a pediatric orthopedic surgeon in new york and this next talk reviews my approach to treating young athletes with acl injuries in our practice in new york this technique was recently highlighted in a jbjs article in march of 2013 and thereamp;#39;s also a nice technique guide that also uh describes the technique by the company arthrix so the principles of an all inside or letamp;#39;s say an all epiphyseal acl reconstruction are really were first introduced by dr anderson and then you can see on the drawing on the left where he puts a new acl graft with in a horizontal epiphyseal socket in the distal femur and then makes a small tunnel through the epiphysis of the tibia and in in and in his initial technique he uh tensioned and tightened the graft over a post in the metaphysis of the proximal tibia whereas you can see the the technique weamp;#39;ll talk about today is an all inside all epiphyseal socket technique where the entire graft is pl