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hey youre back with nova care sports medicine my name is Shana Israel physical therapist athletic trainer part of your local Philadelphia sports medicine team as we continue our ACL road to recovery I want to discuss today some common complications following ACL reconstruction as we know ACL reconstruction is extremely popular and generally speaking has good outcomes however when there are poor outcomes is most likely due to results of limited the range of motions specifically in the extensive range of motion we have discussed in our previous posts about the importance of early mobilization techniques to regain the extension range of motion a loss of as little of 5 has been shown to have altered joint mechanics increased scar tissue formation and poor long-term outcomes a loss of range of motion can be avoided with a good thorough rehab plan today I want to focus on some of these early manual therapy techniques have been shown to be helpful such as patellar mobilizations scar mobiliz