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the anterior cruciate ligament or ACL is one of the four main ligaments connecting the femur to the tibia the ACL provides stability as you move your knee a torn ACL may occur if your knee joint over rotates or if you receive a direct blow to the front of your knee if your ACL tears through completely your doctor may recommend surgery to repair it before your procedure you will receive either spinal anesthesia which will numb your body from the chest down or general anesthesia which will put you to sleep for the duration of the procedure during this arthroscopic procedure your surgeon will make a few incisions around your knee through which he or she will insert surgical instruments including a camera the camera will transmit images to a TV monitor which the surgeon will view during the procedure first your surgeon will remove the remaining portions of your torn ACL from your knee then your surgeon will remove part of your patellar tendon to use as the graft or obtained donor tissue y