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ACL tears are an incredibly common injury theyamp;#39;re much more common in women than men and weamp;#39;ve learned that women depending on this border up to six to eight times more likely than men to tear their ACLS and often this involves teenagers my Approach has changed over the last 20 years 20 years ago I was using a patellar tendon in most cases which involved two metal screws to fix the Graft in place and then the body has to grow into that tendon and make a ligament nowadays in most cases I use a single hamstring we have a way to do it called all inside where we can quadruple that hamstring which makes a much stronger and larger graft and the morbidity or the downside or what you lose from taking one hamstring is minimal whatamp;#39;s happened over the past year is the FDA approved the bear the bear is a bovine collagen implant where we put it in the gap between the two ends of the ACL thatamp;#39;s super exciting because thereamp;#39;s no donor State morbidity meaning w