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hello this is Dr Don Buford showing another in a series of our simulated stem cell injections into the acl ligament what we see here is a complete ACL tear in a left knee on MRI scan this tear was assessed as being about 1.7 millimeters separated essentially mid substance and as we look inside the notch on our initial arthroscopic view we can confirm that we see that this this tear has some chronic so weamp;#39;re going to show you now is a 22 gauge needle weamp;#39;re going to inject some methylene blue into the base of the tibial stump the tibial ACL stump that is and what youamp;#39;ll see here is that that methylene blue extravasates almost immediately with um no more than half a cc actually less than that and clearly thereamp;#39;s no intact sheet this would be an example of a situation where we would feel um ACL reconstruction would be warranted because we canamp;#39;t reliably count on the ends of that ACL having any guide or Landmark to reconnect or to regrow so this patie