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[Music] we have always as joint-replacement surgeons thought weve done incredible job weve always talked about success rates in the 95 to 98 percent range after total knee replacement what we realize now when we quoted those studies is that objective findings the motion the stability ultimately the longevity of those implants in general had very high success rates in the 95 to 98 percent range what we later have found out or more recently I found out when you actually ask patients what they feel is happening with their knee eighty percent field theyve had a great result and would do it again and feel that theyre much better than they were before the surgery up to 20% of patients feel that they still have problems with the knee it doesnt feel like their normal knee it may have taken away their pain on a pure pain scale but it hasnt accomplished all the goals that they thought or that they anticipated to accomplishing all of the change is done over the years to improve the design t