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[Applause] evolving in orthopedic surgery to new techniques and technology is definitely something that has to be part of your practice i heard about the tightrope being the new approach for acl surgery and at that time i was a fixed loop device surgeon and now i feel like there are few cases in knee ligament reconstruction where a tightrope is not part of my practice the key with the tightrope is the ability that we can now retention graphs on the operating table iamp;#39;ll fix the femoral side iamp;#39;ll fix the tibial side arrange the knee put a lock one on it iamp;#39;ll put a pivot shift on it and then i can re-tension the graft to eliminate any creep in the construct thatamp;#39;s a huge advancement that you canamp;#39;t do with static screw fixation i remember in the past sometimes youamp;#39;d blow out the posterior wall when drilling a femoral tunnel in an acl and then youamp;#39;d have to go make a secondary incision to get fixation and it really created a pr
