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Here, the author vigorously goes on about the need for regular postoperative imaging, especially plain X-rays, after procedures of internal fixation or ACL reconstruction. They point out the frequent omission of not ensuring tunnel placement, which can cause serious issues like loss of extension in the knee or ongoing instability. Based on clinical experience, the author stresses how suboptimal tunnel placement—particularly anterior or vertical tunnels—results in tight grafts and positive pivot shift tests, signaling poor knee stability. They advocate for routine and standardized imaging protocols to prevent suboptimal tunnel placement, citing that tunnel measurements are cheap, easy to carry out, and extremely accurate in predicting surgical outcomes. 👉🏻Simon Raftery's interview on PT Pro Talk Podcast 🎥Link to interview on Youtube: • 40% of ACL Surgeries Fail?" The Real Reaso... 🎙Listen to the Podcast available on Spotify 🎵: https://shorturl.at/znkFt iTunes 🍏: https://shorturl.at/nHbyD 🌐𝐅𝐨𝐥𝐥𝐨𝐰 𝐌𝐞 𝐎𝐧 𝐒𝐨𝐜𝐢𝐚𝐥𝐬se 📸Instagram: https://bit.ly/ptprotalkig 📱Facebook: https://bit.ly/ptprotalkf 💻LinkedIn: https://bit.ly/ptprotalkl 🐦Twitter: https://bit.ly/ptprotalkx ✅𝐆𝐄𝐓 𝐈𝐍 𝐓𝐎𝐔𝐂𝐇 📧 📩Email: [email protected] 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 🍁 𝗔𝗯𝗼𝘂𝘁 𝐏𝐓 𝐏𝐫𝐨 𝐓𝐚𝐥𝐤 𝐏𝐨𝐝𝐜𝐚𝐬𝐭 🍁 In this channel, you will find Physical Therapy-related content, like interviews with experts that share their views and experiences, providing relevant information to help Physical Therapists to improve their practice and patient care! Support 💁♂️ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like: NeckCare: https://bit.ly/3E1uYof SaRaHealth: https://bit.ly/saraytb 📺Thanks for watching: ACL Reconstruction: Why Tunnel Positioning and X-Rays Are Critical | PT Pro Talk Podcast #aclreconstruction #kneesurgery #orthopedics #postopcare #xrays #tunnelposition #kneestability #surgicaloutcomes #sportsmedicine #physiotherapy 𝗥𝗲𝗹𝗮𝘁𝗲𝗱 𝗦𝗲𝗮𝗿𝗰𝗵𝗲𝘀 : acl reconstruction tunnel placement poor knee extension after acl surgery vertical femoral tunnel acl anterior tibial tunnel complications x-ray after acl reconstruction acl surgery knee instability pivot shift test after acl acl graft too tight symptoms femoral tunnel positioning acl importance of imaging after orthopedic surgery