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[Music] so we realized that surgery is needed many times when we have tried everything as weve discussed when weve tried therapy the rest bracing medications and nothings helping or a patient gets to the point especially with arthritis of the hip or the knee where they just are tired of the pain its affecting their life they cant spend time with their family or their friends or even get to work without pain thats what I realized that the surgery is a good option for those patients if somebody has a torn meniscus and their knee and nothing has helped non-surgically then usually will offer them arthroscopy which is surgery but its minimally invasive it allows us to look in their knee with a camera and use different instruments to remove any torn tissue and stabilize the knee and make the knee feel better so that the recovery can be very quick after that type of outpatient procedure our osku P usually does not work for arthritis so we dont offer that to patients depending on how m