Randomized Arthrex Nano Arthroscopy in Arthroscopic ACL vs Conventional Arthroscopy

Inclusion Criteria: * Subject is 18 - 60 years of age. * Subject body mass index (BMI) is 40 or lower (BMI ≤ 40). * Subject signed informed consent and is willing and able to comply with all study requirements and follow-up visits. * Confirmed ACL injury by MRI and physical exam as per standard of care. * Subjects not excluded for having meniscal pathology that requires resection or repair. * Subjects not excluded for having lateral-extra-articular tenodesis Exclusion Criteria: * Revision ACL case. * Current bilateral knee injury. * Insufficient quantity or quality of bone. * Blood supply limitations and previous infections which may retard healing. * Subjects that are skeletally immature. * Advanced Osteoarthritis; Kellgren Lawrence ≥ 2 * Fracture of the lower extremities within 6 months prior to screening. * Previous surgery on the affected knee within 12 months related to the ACL reconstruction, prior to screening. * Sensitivity to silicone, polyester, nylon, FD\&C Blue No. 2 dye and beeswax. * Other concomitant disease that would interfere with study outcomes. * Subject is included in a vulnerable population (child, prisoner, etc.). * Conditions that tend to limit the patient's ability or willingness to restrict activities, follow directions, or perform online subject assessments during the healing period. * Subject is requesting or receiving Worker's compensation related to the knee injury.