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what are the big downsides of ACL repair it seems like there is no downside because itamp;#39;s a smaller surgery with a faster recovery and the knee feels more normal why wouldnamp;#39;t everybody do it well itamp;#39;s not all the surgeons are comfortable doing it I was the person who kind of came up with this approach and this technique but the one thing is you could fail if you repair your ACL and then you go out you could re-injure it now you could re-injure a reconstruction also and whatamp;#39;s the difference well if you re-injure the repair and tear it again the answer is to do the Reconstruction which is actually easier than if you re-injure a reconstruction because youamp;#39;ve already drilled the tunnels and taken the graphs and itamp;#39;s a much more complicated issue I used to explain it to my patients itamp;#39;s kind of like getting a fourth strike when youamp;#39;re up to bat in baseball you stand up and the Pitcher fires the first fastball and the Um