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thanks very much um once you figure out what graph you want to use you dont need to know where to put it so queen advance please next here are my disclosures next so in order to figure this out we need to think about this is like a dart board we need to see the dart board on both sides we need to figure out where the target is and then we need to figure out how to hit the bullseye next so the dart board consists of the normal anatomy of the acl we want to get the graph in the center between the two bundles we should be all familiar with this anatomy next again location is key and its probably the most important concept despite all the arguments weve had about graphs next so in order to hit the bullseye you need a target next so weve done extensive research as have others to figure out where the femoral side of the acl should be and if you do independent femoral tunnel drilling that means either an accessory media portal outside in or flexible reamer then you should have a fluorosc