Surgeons perform an estimated 150,000 anterior cruciate ligament reconstructions (ACLRs) each year in the United States.1 Most surgeons who perform ACLRs do so infrequently; American Board of Orthopaedic Surgery data suggest that about 90% of ACL surgical procedures are performed by surgeons who do fewer than 10 ACLRs annually.2 Multiple studies have listed technical aspects as the most common reason for ACLR failure.3-6 For this reason, it is important that surgeons focus on the technical aspects of the procedure to improve outcomes.
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