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um the acl is is also the the proper name is anterior cruciate ligament itamp;#39;s a very important ligament in the center of the knee joint that connects the tibia and the femur which is the leg bone and the thigh bone it is responsible for stability of your knee in the twisting position and as you know a lot of sports such as skiing football rugby racket sports involve twisting and itamp;#39;s perhaps the most commonly injured ligament um yes there is a the capacity for the acl to deal but very often the healing is poor and it may not be of the same length and and the fact that other associate structures such as many sky and other uh other interarticular structures provide stability means that even if it does heal it can lead to instability of the knee with day-to-day activities or especially playing twisting sports i would i would say that surgery is only required if itamp;#39;s if the acl injury is causing symptoms um if youamp;#39;re going to be playing a sport that involves