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if you need ACL surgery what graft should you actually use for the ACL reconstruction Iamp;#39;m dr. David Geyer orthopedic surgeon and sports medicine specialist and I provide education information and commentary on all sorts of sports and exercise injuries and injuries treatments and injury prevention for athletes and active people so that you can stay healthy and perform at your best you know Iamp;#39;ve talked so much recently about ACL injuries in this injuries and surgeries playlist or series for my youtube channel and weamp;#39;ve talked about ACL reconstruction where itamp;#39;s a surgery where basically we go in and make a new ACL we talked about how you canamp;#39;t really do an ACL repair or sewing it back together but where does that tissue come from you know how do we make a new ligament well thereamp;#39;s two main choices we either use tissue from your knee or we use tissue from a donor or a cadaver that from your knee is what we call an auto graft and from a donor