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Tears of the anterior cruciate ligament are often caused by impact that displaces the upper leg while the lower leg remains stable. Reconstruction of the ACL is necessary as the ligament cannot be repaired. A common method involves using a patellar tendon graft, where the middle section of the tendon is removed along with bone on each end. A single tunnel is made into the tibial and fibular bones, allowing for extraction of the damaged ligament and placement of the replacement ligament, sometimes secured with screws.