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ACL surgery is evolving we in the past used to take the patientamp;#39;s own patellar tendon or hamstrings and we found that that second site surgery created as much damage often as the original injury did we then moved on to the use of donor tissues and within the donor tissue space weamp;#39;ve learned now that the quadriceps tendon is thicker and stronger than any other tissue we have available so now we use donor quadriceps tendon to rebuild the torn ACL for our athletes with ruptured cruciate ligaments very commonly weamp;#39;ll also add to that whatamp;#39;s called an extra articular reconstruction to back up the joint reconstruction and Help The Help the knee retain its normal rotation stability and protect the ACL graft at the same time so ACL surgery is evolving itamp;#39;s gotten better and better weamp;#39;re very pleased with the outcomes these days of using strongest tissues precisely placed in the anatomic positions and then early full range of motion and then muscl