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To determine the rate of total knee replacement (TKR) after anterior cruciate ligament reconstruction (ACL-R) compared to the general population. Retrospective review. All hospitals that performed TKR and ACL-R in Manitoba between 1980 and 2015. All patients that underwent TKR and ACL-R in Manitoba between 1980 and 2015. Patient factors gathered at time of surgery included age, sex, urban or rural residence, neighborhood income quintile, and resource utilization band (RU. Each person was matched with up to 5 people from the general po
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