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todays topic is acl reconstruction what you need to know acl reconstruction is a surgical procedure to restore the anterior cruciate ligament or acl providing stability and structure to the knee the acl runs diagonally between the two bones located below the knee the femur and tibia and prevents the latter from slipping in front of the former an injured acl can lead to poor quality of life affecting everything from sports activities to just standing the surgery is carried out by removing the remaining pieces of the torn ligament and replacing the ligament with another from another part of the body or with tissue from a cadaver lets look at this surgery in detail what causes the injury an acl injury is quite common with around two hundred thousand cases of it every year in the united states alone it can be caused by sudden pressure on the knee or by changing your leg position suddenly this is why the injury is quite common in athletes with people who play basketball football hockey o