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A n t e r i o r C r u c i a t e L i g a m e n t R e p a i r The anterior cruciate ligament (ACL) is one of the main stabilizing ligaments in the knee. Partial or incomplete damage to this ligament can lead to instability of the knee. Tearing the ACL is usually associated with a traumatic event and is not uncommon in high speed sports such as soccer, rugby, and tennis or skiing. Symptoms are usually very obvious. A loud crack, severe pain, instant swelling of the knee, and a feeling of instability occur almost immediately after the event. Partial tears may be treated conservatively in some instances. However, if surgery is require an ACL reconstruction is often the standard treatment. This procedure is almost always done arthroscopically (through small incisions in the knee using a camera and narrow working instruments). A tissue graft (usually the patellar tendon of the patient) is used to replace the torn ligament. After surgery some physical therapy will be required to restore the range of motion of the knee. However, patients are usually out and about their way very quickly. 
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