The anterior cruciate ligament (ACL) is one of the most commonly injured or torn ligaments in the knee. Any injuries in a ground based sport such as soccer, basketball or racket sports are common events causing an ACL tear. Generally, if the knee is otherwise healthy and one wishes to optimize their ability to return to sport, an arthroscopic ACL reconstruction is a good option. This is a well-established procedure today and can be done reliably and with good results and satisfaction.