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lets discuss the differences between allograft and autographed in ACL surgery one of the most important decisions to be made prior to an ACL reconstruction is the choice between allograft and autographed but what exactly does that mean well autographed means using tissue from your own body while allograft means using tissue from a donor lets start by discussing the two most common autographs the hamstrings and the patellar tendon with a hamstrings autographed your surgeon will make a small incision to harvest one or two of the hamstring tendons adjacent to the knee usually the gracilis the semitendinosus or both these tendons are then bundled together to create a stronger thicker graft take a look here at an example of an ACL reconstruction using a hamstrings autographed now it may seem that your knee might be weaker after taking out part of your hamstrings well while there may be some slight differences that can be measured on special machines extensive research has shown that you