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Dr. Andrew Young discusses the challenges of replacing a post-traumatic knee after a prior ACL repair, highlighting ligamentous injuries, scarring, deformity, and issues with hardware used for ACL graft fixation. The focus is on managing hardware removal using robotic systems, particularly for post-traumatic arthritis cases with joint space loss, femoral condyle irregularity, tibial subluxation, and interference screws in the femur and tibia.