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hello and Iamp;#39;m Dr Chad lavender for Marshall Orthopedics and weamp;#39;re going to discuss outcomes of biologic augmentation of an ACL reconstruction plus internal brace weamp;#39;ll talk about improving outcomes through biologic AC augmentation first weamp;#39;ll start with ACL challenges and then weamp;#39;ll talk briefly on the technique and then weamp;#39;ll get to the outcomes especially of our clinical trial so the question everyone asks is why change well because graft tree rupture is a common complication after ACL reconstruction our newer techniques and fixation devices have failed to really improve the re-rupture rates and the return to play after ACL reconstruction when we look at the less than 25 year old patients they have up to a 23 risk of secondary ACL injury to either the ipsilateral or the contralateral extremity the estimated return to self-reported pre-injury knee function is very dismal 35 to 60 percent in some studies when we look at specific patient g