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ACL reconstruction is a fantastic procedure for getting athletes of all kind back to sports fortunately its not a hundred percent effective so some patients their ACL graft never completely heals some people rear up sure the graft or whatever reason theyre not able to get back to the sports or activities that they desire and that happens theres always the option of revision ACL surgery so we do essentially the same surgery which is fine to graph and then drill the appropriate tunnels or make the appropriate tunnels in the bones or the ACL belongs anatomically but their graft into those tunnels and fix them to allow them time to heal problem is there are a lot of challenges to doing that surgery primer ACL surgeries about eighty-five to ninety percent effective in getting patients back to their desired activities revision ACL surgery is probably somewhere closer to 75 80 percent there are some issues with scar tissue theres issues with additional injuries that have occurred since th