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welcome back to acl academy this is dr khan today we are going to touch on acl graph choices so what over youamp;#39;re going to use for your new acl uh before i get into that if you guys have found value in the page please subscribe to the channel like this video and share with a friend spread the word so when weamp;#39;re talking about acl um reconstruction uh we are talking about replacing the native acl ligament so when itamp;#39;s torn that area does not have great blood supply usually a repair historically a repair is not possible and it needs to be replaced there are some new technologies coming out that weamp;#39;re starting to utilize for repair procedures having said that the evidence is just not there yet uh so currently weamp;#39;re still seeing a lot more reconstructions which is replacing the native uh acl versus repairs which is basically taking the tear and repairing it okay so when weamp;#39;re talking about reconstruction well we have to use something to replace