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the flip cutter allows minimally invasive bone tunnel creation for ACL reconstruction at the anatomic site of ACL attachment if the torn ACL is not reconstructed then cartilage tears and late arthritis May develop in the knee the guide for the flip cutter is placed into the joint and will direct the flip cutter to the appropriate location during drilling the flip cutter is then drilled into the joint through the guide the guide is removed and the tip of the flip cutter is rotated into cutting position as the drill is activated and the pin is pulled back the flip cutter makes a bone tunnel from the inside out avoiding damage to the soft tissues and external bone the flip cutter is then straightened and removed and The graft is then passed and fixed to the Bone