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foreign first approach or maybe youamp;#39;ve known someone whoamp;#39;s had that approach itamp;#39;s beginning to spread around the world as other doctors have picked up on the this technique the way I see the ACL reconstruction approach is itamp;#39;s pretty much a one-size-fits-all approach if you tear your ACL and youamp;#39;re active enough to have a surgery to make your knee more stable you get a reconstruction that never really sat well with me the surgery is pretty morbid and itamp;#39;s itamp;#39;s not an easy recovery as many people know someone whoamp;#39;s had that surgery and have witnessed that that it takes a long time and itamp;#39;s a lot of hard work and a lot of suffering I always thought isnamp;#39;t there a way where we could potentially decrease the morbidity of the surgery in the early 2000s we were moving from open repairs when we would do rotator cuff repairs to arthroscopic repairs we saw the development of a lot of devices that allo