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People ask me what makes an ACL reconstruction “perfect.” It’s not one skill, it’s a hundred small decisions, made correctly, one after another. It’s checking the graft measurement twice. It’s laying out every instrument in the exact same order, every single time, so nothing is ever a guess under pressure. Patients don’t see any of this. They see the outcome: walking again, running again, playing again. But that outcome is built in the details nobody photographs: the pause before a suture, the r
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