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The ACL, or anterior cruciate ligament, is crucial for knee stability during front to back and twisting movements, often injured in sports. Many believe ACL surgery is like fixing a car part, but studies show most athletes never fully regain balance and have a high risk of reinjury. Four years post-surgery, patients have no better function or less arthritis than those who didn't have surgery. The new ACL is different from the original, making it unable to offer the same stabilization.