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which is why it is just so hard for you to straighten your knee getting your knee straight after ecl surgery correlated with better outcomes this means that the sooner youamp;#39;re able to straighten your knee the more smoothly your recovery process will go and the less likely you will be to have painful knee symptoms down the line itamp;#39;s important to know that the primary muscle responsible for straightening the knee is the quadriceps in order for the knee to straighten the quadriceps must contract and create a force that is greater than the forces that oppose it after acl injuries and acl surgery the nervous system which we like to call the control system of our body holds the quadriceps in a very guarded state it keeps the quadriceps from creating much force at all which is why it is just so hard for you to straighten your knee at the same time the nervous system also guards against knee extension by keeping a different set of muscles from lengthening think of these muscles