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1. Skeletally mature between the ages of 15 and 25
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1. Previous ACLR on either knee
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2. ACL deficient knee
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2. Multi-ligament injury (2+ ligaments requiring surgical attention)
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3. Two or more of the following:
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3. Symptomatic articular cartilage defect requiring treatment other than debridement
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a) Competitive pivoting sport
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4. Varus or valgus malalignment greater than 3 degrees
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b) Pivot shift grade 2 or greater
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5. Unable to speak or read English
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c) Generalized ligamentous laxity (Beighton score of 4 or greater)
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6. Unable to provide informed consent
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