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An ACL LCL tear is a severe injury of the anterior cruciate ligament and the lateral collateral ligament. When a combined ACL LCL injury occurs, one may feel or hear a pop, followed by swelling, pain, and joint instability. A torn ACL requires reconstruction. A tendon graft is taken from the patient and the torn ligament is removed. The surgeon will drill tunnels into the femur and the tibia. This enables surgeons to accurately position and attach the graft. The graft is then secured with screws or other devices. Repair or reconstruction of the torn LCL will depend on the severity of injury. The surgeon will repair the LCL, sewing the torn ends together and reattaching to the bone, if necessary.