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there are four major ligaments that stabilized the knee the medial collateral ligament is on the inner side of the knee and the lateral collateral ligament on the outer side the collateral ligaments give sideways stability to the knee two ligaments cross in the center of the knee they are called the cruciate ligaments the ligament toward the front is the anterior cruciate ligament or ACL and the one towards the back is the posterior cruciate ligament the ACL prevents the lower bone the tibia from moving forward and the PCL prevents it from moving backward if the ACL tears the tibia can move forward too much and the knee can be unstable the knee in which the ACL is torn tends to give out when pivoting or quickly changing direction to correct this instability a new ACL can be made the strongest graph that is available to replace the torn ACL is the middle third of the patellar tendon this graft has a plug of bone taken from the patella or kneecap on one end and from the tibia on the oth