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so the history of ACL surgery goes back 21 person has changed somewhat dramatically Iamp;#39;m frame so in my career weamp;#39;ve gone from multiple incision ACLs to arthroscopically assisted ACLs the traditional method would involve either removing a part of the hamstring tendon in the back of the knee or the patellar tendon in the front of the knee those tenants would then be rerouted into the need to replace the torn ACL this sometimes requires a larger incision and violation of some soft tissue structures that give patients problem in the future this traditional type of ACL reconstruction then requires drilling full tunnels from outside the bone into the knee you