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all right so were looking at a left knee and were going to fill the defects after a failed ACL reconstruction so the tibial tunnel looks like about a 13 or 14 millimeter in diameter defect its in a reasonable position on the plateau and the femoral tunnel is probably about a 11 millimeter defect so well first fill the femoral tunnel with the revision Dow and the standard guide wire the tamp and plug and there you are so youre youre perfect so thats wash were gonna trim the tip of this so its more like a bullet so well load this up on the guide wire so were gonna take a regular Coker clamp so now that you have it in there if you go a little bit longer now your your filled on the on the tibial side so the conclusion is femoral tunnels been grafted and that comes out makes a smooth wall there the tibial tunnel has been grafted and filled and will now allow for that to incorporate and come back for a stage two of the revision and then tibial side follow that with the mineralized