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as youth Athletics continue to become more and more popular with more kids participating and more kids participating year round weamp;#39;re seeing a lot more ACL tears and you know we have good surgeries for that to get people back up and on the field back to their Sports U most of them do very well but what weamp;#39;re seeing more and more too is that 5 10 years down the line some of those patients are starting to ret their old ACLS and so then youamp;#39;re starting to talk about what we call revision ACL surgery or redoing the first one and thereamp;#39;s a lot of things to consider with that one is what graft are you going to use two is whatamp;#39;s the bone quality like and one thing that Fellowship training in sports medicine allows you the time to do is see a lot of those patients do a lot of those surgeries in the same way that folks who maybe didnamp;#39;t have a sports medicine Fellowship training theyamp;#39;re not quite as familiar and so we have to pay attention