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an ACL injury is a rupture of the anterior cruciate ligament thereamp;#39;s a difference between a tear interrupter so itamp;#39;s the anterior cruciate ligament connects the femur to the tibia and itamp;#39;s a very common sports medicine injury one that one that requires extensive surgery typically itamp;#39;s caused by very high forces in the ligament itamp;#39;s something that you see and soccer or basketball you see it in skiing every year thereamp;#39;s about 250,000 people that have a CL ruptures and about half of these and out having reconstructive surgery well we see that in a lot of these people getting osteoarthritis you see signs of at beginning at about five years after the time of the ACL rupture and repair five years is not a good time because that means that youamp;#39;ve got a healthy person a young person who is say 20 years old that tears an ACL and by the age of 25 theyamp;#39;re showing signs of early stage osteoarthritis now 25 theyamp;#39;re not really g