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we actually donamp;#39;t repair the ACL we reconstruct it either with your tissue or cadaver tissue First We Take a look at whatamp;#39;s left of your torn ACL after marking its attachment itamp;#39;s time to drill holes typically first in the femur or thigh bone and then the tibia or shin bone a suture is then attached to help pull the new ACL through the bone tunnel a fastening device is used to attach the new ACL graph to your thigh bone while your knee is repeatedly flexed when pulled tight your new ACL is attached to the shin bone through the arthroscope your surgeon confirms your new ACL has good tension and itamp;#39;s time to close your incision