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When a combined ACL MCL 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 thigh bone (or femur) and the shin bone (or tibia). This enables surgeons to accurately position and attach the graft. The graft is then secured with screws or other devices Due to a good blood supply to the MCL, the torn ligament can be repaired and healed. The surgeon will reattach the MCL sewing the torn ends together. Full recovery may take up to a year.