Comparison of Three Methods for Anterior Cruciate Ligament Reconstruction

Inclusion Criteria: A confirmed diagnosis of anterior cruciate ligament deficiency based on all of the following: * History of a traumatic injury episode * Physical examination findings of increased anterior translation of the tibia on the femur (Lachman test and/or anterior drawer test) * A positive pivot shift test * X-rays showing skeletal maturity (ie: tibial tubercle fused) and no fractures. (NB: Magnetic resonance imaging is not required) * Age 14-50 years old Exclusion Criteria: * Patients with combined ligament deficiencies (Posterior Cruciate, Medial and/or Lateral Collateral deficiency.) (NB: Grade 1 side to side differences (ie. \< 5mm) on valgus, varus or posterior stress testing will not be considered exclusions) * Intra-operative identification of International Cartilage Repair Society (ICRS) Grade 4 chondral lesion of \> 1 cm ² \[61\] * Previous ligament surgery on the affected or contralateral knees * Cases involving litigation or Worker's Compensation * Confirmed connective tissue disorder (ie: Ehlers-Danlos, Marfans) * X-ray showing that tibial physis is not fused