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so we elected to do this soft tissue graft because heamp;#39;s scalar mature weamp;#39;re actually going to violate the pisces but weamp;#39;re going to use a rather small diameter socket in the femur and a small diameter socket in the tibia so that we donamp;#39;t damage the growth plate and cause growth arrest we would never put fixation meaning as interference screw or actual bone across the physis so the soft tissue graft through that socket will allow the growth plate to continue to grow