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We propose a method for repairing the anterior cruciate ligament which takes advantage of the multifascular nature of the ligament to achieve better physiological anteroposterior and rotational stability compared with conventional methods. Arthroscopic reconstruction of the anteromedial and posterolateral bundles of the ligament closely reproduces normal anatomy. We have used this technique in 92 patients with anterior cruciate ligament laxity and present here the mid-term results. The hamstring tendons (gracilis and semitendinosus) are harvested carefully to obtain good quality grafts. Arthroscopic preparation of the notch allows careful cleaning of the axial aspect of the lateral condyle; it is crucial to well visualize the region over the top and delimit the 9 h-12 h zone for the right knee or the 12-15 h zone for the left knee. The femoral end of the anteromedial tunnel lies close to the floor of the intercondylar notch, 5 to 10 mm in front of the posterior border of the lateral condyle, at 13 h for the left knee and 11 h for the right knee. The femoral end of the posterolateral tunnel lies more anteriorly, at 14 h for the left knee and 10 h for the right knee. The tibial end of the posterolateral tunnel faces the anterolateral spike of the tibia. The tibial end of the anteromedial tunnel lies in front of the apex of the two tibial spikes half way between the anteromedial spike and the anterolateral spike, 8 mm in front of the protrusion of the posteriolateral pin. The posterolateral graft is run through the femoral and tibial tunnels first. A cortical fixation is used for the femoral end. The femoral end of the anteromedial graft is then fixed in the same way. The tibial fixation begins with the posterolateral graft with the knee close to full extension. The anteromedial graft is fixed with the knee in 90 degrees flexion. Thirty patients were reviewed at least six months after the procedure. Mean age was 28.2 years. Mean overall IKDC score was 86% (36% A and 50% B). Gain in laxity was significant: 6.53 preoperatively and 2.1 postoperatively. Most of the patients (86.6%) were able to resume their former occupation 2 months after the procedure. The different components of the anterior cruciate ligament and their respective functions have been the object of several studies. The anteromedial bundle maintains joint stability during extension and anteroposterior stability during flexion. The posterolateral bundle contributes to the action of the anteromedial bundle with an additional effect due to its position: rotational stability during flexion. In light of the multifascicular nature of the anterior cruciate ligament and the residual rotational laxity observed after conventional repair, our proposed method provides a more anatomic reconstruction which achieves better correction of anteroposterior and rotational stability. This technique should be validated with comparative trials against currently employed methods.
The other is Rambo, a man double-crossed while on a clandestine mission and left to fight on his own in Rambo: First Blood Part II, which continued to inspire countless action movies since its release in 1985.
In Power Grab, Operators will find that the starting circle collapse is smaller than in a traditional Battle Royale in Verdansk. This circle collapse will have five stages and there is no Gulag to escape from upon death.
Instead, you must either revive your squadmates via the Buy Station or earn the right to revive them by collecting Dog Tags. Similar to Kill Confirmed in traditional Multiplayer, every Operator will drop a Dog Tag each time they are eliminated. These Dog Tags can also be found as rewards for completing Contracts, and in rare cases, they can be found in Supply Boxes around Verdansk.
Each Dog Tag collected brings you one notch up a reward ladder, which is visible on the right side of your HUD. This reward ladder includes a UAV; a Respawn Token, which gives you the right to infil into Verdansk again; and Advanced Gas Masks and Specialist Bonuses, at higher tiers.
Effective against both infantry and vehicles, this new Killstreak can help your squad turn the tide of battle through unconventional warfare. The longer you pull back the bow, the farther the explosive-tipped arrow will go, so be sure to adjust your strength as needed to hit targets at longer distances.
The Ballistic Knife of Black Ops series fame also comes to Warzone in Season Three Reloaded! Built for stealth kills from multiple distances, this versatile weapon allows for melee attacks up close and a projectile blade attack from short-to-medium ranges.
Black Ops Cold War is ready for action in Season Three Reloaded, remixing classic game modes and adding in two Multiplayer maps, plus the new Main Quest for Zombies fans to discover and solve in Outbreak, and more.
Duga offers something for every playstyle, whether you prefer to move through the central admin offices for close-range battles or work your way around the perimeter through the bus depot to the chemical processing plant for long-range battles.
Work alongside your squad to capture Hardpoints and eliminate enemies in a race to gain 200 points, or the most points before time expires. Capturing a Hardpoint will give you a movement speed boost (the first of five potential buffs) and set your timer to 30 seconds. But beware: these buffs come at the cost of your life in explosive fashion when the clock hits zero.
This timer can be extended by earning eliminations and playing the objective, so aggressive play will be key to survival. While on your team's Hardpoint, your timer will be paused, and kills will add 15 seconds to your timer up to a max of 30 seconds. Successive kills will also grant you up to four additional buffs on top of movement speed: weapon handling, ADS speed, slide speed, and a larger explosion for when you inevitably die (only achievable after a five-kill streak.)
On its own, Gun Game can be a fast and frenetic party mode, but what happens when Rambo joins the party? The rotation of 20 weapons gets a serious boost in firepower, as the Combat Bow, War Machine, RPG-7, and even the Death Machine get added into a fresh set of armaments. To help keep our action heroes alive, players will also be equipped with the Stimshot.
In Multi-Team Elimination, ten teams of four will drop in and fight to survive against ever-expanding radiation zones. Redeploys will be limited and loadouts will be restricted, so teams will need to scavenge for weapons, Scorestreaks, Armor, and more.
Season Three Reloaded also delivers a new World Event to discover in Outbreak. Massive Orda monsters now wander the Ural Mountains, posing a considerable challenge with powerful rewards for those who come out of the encounter alive.
And if you need to take a quick break between all the chaos, try picking up one of the fishing poles found near water sources throughout the regions. Players just might fish up Salvage, Armor, Perks, or even a special surprise...
And as always, there are other secrets waiting in Outbreak for players to find on their own. Beware the new dangers that lurk in the Outbreak Zone, and keep your eyes peeled for anything out of the ordinary...
In this new take on Cranked in Zombies, all players will start with a Knife, with Wall Buys disabled and Crafting Tables removed. All Mystery Box locations will be active and restocked with different armaments, including more frequent Support items. In addition to finding more explosive ordinances from the Mystery Box, zombies are more likely to drop lethal explosive equipment.
New Zombies-specific weapon tuning is also incoming to boost the overall power of several weapons in the Black Ops Cold War arsenal, so zombie slayers will have even more viable tools of destruction at their fingertips. For more details on all of the updates coming to Zombies this week, visit the Treyarch Blog.
Obtain the AMP63 and Baseball Bat during Season Three Reloaded in one of two ways: complete an in-game challenge to obtain the free base weapon or pick up a bundle with a Blueprint version when it appears in the Store.
Complete all nine Black Ops Cold War challenges to unlock a semi-automatic tactical rifle Weapon Blueprint and complete all nine of the Warzone challenges to get an awesome Bolt-Action Sniper Rifle Weapon Blueprint.
In addition to these two new weapons, as well as John McClane and Rambo, the Store across Black Ops Cold War and Warzone will be updated with fresh new Weapon Blueprints, Operator Skins, and more content across multiple bundles.
The Season Three Reloaded update will have a download size of approximately 7.1-13.1 GB for those who own the full version of Black Ops Cold War, and 14.6-18.1 GB for those who own the free-to-play Warzone and are current on the latest updates on either or both games.
With the launch of Season Three Reloaded update, owners of a Black Ops Cold War physical copy for PlayStation 4 will be able to delete the on-disc DLC that they are currently not using from their console. This allows them to remove Multiplayer and/or Zombies DLC packs to better manage their hard drive space, should they not need those modes.
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