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um so weamp;#39;re going to talk about fluoroscopy i have no disclosure i bet most of you in the room do this use it for mpfl but not many of you do this use it for acl why would one routinely use it for mpfl reconstruction and not consider it for acl makes no sense to me so is the mpfl more important than the acl i donamp;#39;t think so intraoperative fluoroscopy provides the knee surgeon with the simple non-invasive cost effective accurate and reproducible method to achieve anatomic placement of the bone tunnels it allows real time accurate and reproducible acl bone tunnel placement it gives you immediate feedback so you can change unacceptable tunnel positions it can help decrease variability and you can measure and document the tunnels this is a young surgeon in norway iamp;#39;ve worked with and youamp;#39;ll see some of his work later this was done in this institution this was a surgeon 25 years of experience doing acls these were his last 50 cases before he used fluoroscopy
