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so weamp;#39;ll be discussing about the acl reconstruction and a meniscus repair case of mine so iamp;#39;ll directly jump onto the case i had a 35 year old male heavy duty worker had a history of twisting injury to the knee with a classical pivoting pattern three years back at that time i had advised him for under google surgery because the kuwait times had to postpone it again twisted his knee three months back and the poor chap on the day of admission again just coming prior to the surgery went to the bathroom and had a slip and fall presented with the locked knee in the ot clinical examination had a positive lockman and anterior drawer test with a grade one keyword chip test his uh medial joint line was tender but the virus and vulgar stress just went negative so if we see the mri this was prior to his uh frequent uh the immediate fall which was just prior to the surgery we can see that the patient had a complex steering pattern we can see a longitudinal component as well as a ho