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[Applause] [Applause] so iamp;#39;m going to take why are acl reconstructions failing in 2020 we know that acl reconstructions are commonly performed procedures theyamp;#39;re successful procedures and we can see this particular footballer that iamp;#39;ve done about 18 years back with the technique thatamp;#39;s not followed today he played competitive football for eight years and now 18 years thereafter he comes for osteochondral patellar fracture his acl looks good revascularized and many of these patients do well but with the increase in number of primary acl reconstructions we know that the subsequent need for revision acl reconstructions is also going to increase and thereamp;#39;s a good systematic review of level one and two prospective studies with a minimum five-year follow-up that show that acl graph structure ranges from one point eight percent to ten point four percent and that has a pooled percentage of about five point eight percent so five point eig