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this is a discussion about acl repair and whether a synthetic scaffold can help it was presented to annaamp;#39;s specialty day on 2022. so to really consider this we need to break apart the idea of an acl repair and a synthetic scaffold and consider them independently acl repair was predominantly abandoned in the mid-1990s there has been a renewed interest in the last decade with the idea that advancements in the arscopic techniques as well as the emergence of biologics and orthopedics can improve the outcomes that were encountered in the mid-1990s there have been promising short to midterm results by the developers when you think about technologies first think about those whoamp;#39;ve been pioneering and developing some techniques then also think about the next level of early adopters as many times the results arenamp;#39;t as consistent or more variable with the early adopters risk factors for failure have included young age high pre-injury sports activity level mid-subs