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hi my nameamp;#39;s John Hardy my consult north Pedic surgeon in Bristol and London now Iamp;#39;m going to talk about my use of the dupuis my tech Milagro by a replaceable screw I used this for ACL reconstruction and for revision ACL reconstruction and there are two good reasons for doing this here you can see Iamp;#39;ve got a little guide wire and there goes the Milagro screw this is an interference screw which holds the four strand hamstring ACL reconstruction in place this is all done through three tiny keyhole incisions so thereamp;#39;s the alternative which is the old-fashioned type of metal screw now two problems with a metal screw the first is that when you MRI scan a patient whoamp;#39;s been playing sport after an ACL reconstruction theyamp;#39;ve had an injury itamp;#39;s sometimes very difficult to see the structures around the screws because of the interference on the mi scan you can see that thereamp;#39;s interference pictures there on the mi scan with the scre
