Nonoperative management with focused physical therapy, activity modification, and bracing are considered for patients with isolated ACL injuries who do not plan on returning to cutting, pivoting, and jumping sports. Operative management with ACL reconstruction is recommended for patients with associated injuries, such a repairable meniscus tear and those who desire to participate in high demand sports. ACL reconstruction is an arthroscopically assisted procedure where a tendon graft is accurately placed into the knee to replace the function of the ACL.