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the interior cruciate ligament or ACL is one of the four main ligaments connecting the femur to the tibia the ACR provides stability As you move your knee the ACL can be torn if your knee joint pivots or if you receive a blow to your knee your knee May swell feel unstable and become too painful to bear weight the oxygen will discuss your options with you if you have a complete ACL tear if you intend to return to sports you will need to consider undergoing an ACL reconstruction surgery ACL reconstruction surgery is a keyhole procedure involving the removal of the torn ACL and replacing it with a tendon taken from another part of your knee during the ACR reconstruction surgery your surgeon will make small incisions around your knee if you insert the camera to view the inside of your new joint the surgery is then performed using instruments through another incision first your surgeon will harvest a graph from your knee the most commonly used graph is hamstring tendon then the surg