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I'll keep it brief, but here's a four-year update (has it really been that long?)Knee is awesome. No issues, no complaints, withstands ridiculous amounts of abuse. Notable achievements this year include a successful summit and ski descent of Mount Baker (11,000ft), Whistler Tough Mudder, and a new addiction to freeride mountain biking. My skiing has now relocated almost entirely to the backcountry which means that a typical day includes around 5,000 feet of fully loaded climbing as well as the descents.When I'm engaged in an activity, I never think about the fact that I once had a "bad" knee. In fact I favour the other knee, which these days is far more grouchy than its operated counterpart.It was worth it.