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the recent advances in acl reconstruction surgery first is the acl ligament reconstruction as i have told we reconstruct the acl ligament using hamstring tendon graft sometimes in few cases with bone particular tendon graft nowadays there are many other recent advances come up like we repair the acl ligament when it is drawn from the femoral attachment or from the tbl attachment that is one advance and the other thing is we reconstruct the ligament using internal bracing system after that patientamp;#39;s recovery is very fast and patient is allowed to do all the activities at a shorter time you