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Approximately two years ago, our surgery team began using a technique called all inside ACL reconstruction. This method offers advantages to patients, such as cosmetic benefits with small incisions and durability compared to traditional methods. After learning about the procedure at national meetings, we found it to be technically challenging at first but quickly became proficient. The procedure, which takes about an hour to perform, involves harvesting a hamstring tendon, unlike traditional methods that may weaken the tendon and hinder ACL recovery.