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approximately 200 to 250,000 ACL uh surgeries done uh in United States and uh thereamp;#39;s no question that uh we have uh by the way these are my disclosures and now there is a clear uh increase in the number of ACLS in the last 25 years there are more surgeons are performing ACL we are training more fellows that they go out and do do to do ACL surgery and the two factors of doing more ACL and more surgeons doing them obviously increases the number and once the number increase obviously the potentially potentially the complication will increase as far as principle of ACL revision surgical technique probably is the most uh important factor because itamp;#39;s probably thatamp;#39;s the one that leads to more failure and in reference to the ACL revision surgery unless we understand why ACL failed that we probably would not be able to fix it properly we know we should know how ACL failed because sometimes some of us that they do ACL revision surgery these ACLS come from elsewhere so
