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this is a surgical video of an arthroscopic acl reconstruction here we are looking into the center of the knee the probe has been used to examine the torn ligament it should be attached to the wall of the femur that can be seen on the left of the image it is pulled away and now is stuck down in the center of the knee the first part of the operation is to remove the old ligament and create space for the new graft after the old ligament has been removed the back of the knee is examined to identify the attachment point for the new graft a pilot hole is made using an awl this is then increased in size using drills of specific diameter [Music] here you can see the final socket into which the new graft will eventually insert [Music] a similar technique is used on the tibia with the guide wire coming out at the base of the old ligament [Music] again this is gradually increased in diameter to match the size of the new graft a stitch is then retrieved connecting the two tunnels together this i