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see the ACL is a rope that connects the femur to the tibia the thigh bone to the shin bone and it keeps your knee stable in that it keeps the bones under each other so theyamp;#39;re not unstable very commonly in the inlay press we hear about ACL ruptures and athletes and thatamp;#39;s when they cut soo hard or someone hits them and the knee comes apart the modern day treatment for that is to replace that ligament the torn ligament with a graft and then kind of lock it in there with some screws and hope that the bodies turns that graft into scar tissue back in the 1970s when they first started understanding about ACL tears they tried to stitch them back together it was kind of the first most intuitive response to injury after that point the evolution of ACL surgery took a turn towards reconstruction thatamp;#39;s the the modern-day state-of-the-art procedure my technique is a bit of a throwback it works best for a specific type of tear and that tears that comes off the bone directly