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ACL injury is very common in young adult.It can happen during sports injury(twisting injury in football,cricket or any other sports) or during any trauma. Patient complains of pain and instability in knee,diffculty in running,climbing stairs. Clinical examination and MRI confirms the diagnosis of ACL Tear. It can be managed conservatively with brace,rest and physiotherapy or surgically by Arthroscopic Acl reconstruction(key hole surgery). Post Surgery,rehabilitation and exercises help in complete recovery and full range of knee movement. Patient can return back to sports also.