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the anterior cruciate ligament or acl is one of the four main ligaments in your knee it connects your femur to your tibia you can tear your acl a number of different ways but typically the most common way to tear it is from what we call a non-contact injury you could be just simply running and trying to change direction or suddenly trying to slow down or stop treatment depends on the person physical therapy and bracing might work well for a person who is older and not involved in high demand sports if youre younger and more active and you participate in sports like basketball volleyball football then most likely youre going to benefit from having a surgery the goal of surgery is to rebuild or reconstruct the ligament typically in a younger athlete were going to use a piece of tender ligament from their own body which tends to heal faster and stronger but in lower demand athletes we occasionally take that tendon from a cadaver or someone that donates their tissue dr ortegera says acl