The impact of this study as yet is unknown. If the research identifies a clear advantage of one study arm over the others, then it is likely that this technique will become the standard ACL reconstruction procedure within the RD+E Hospital- with the aim of providing patients with the best clinical and functional results after their ACL reconstruction surgery. Similarly, if a clear difference is found in one study arm, one would hope that presentation of the results to colleagues at other institutions will result in better long term results for their patients.