“… 8 , 9 , 10 In addition, supplemental surgical techniques such as internal bracing or suture augmentation have demonstrated to improve ACLR rehabilitation and provide earlier return to preinjury activity level. 11 , 12 The senior author's indications for internal bracing are primary ACLR with an autograft, combined ACL repair and reconstruction for Sherman 1 ACL tears, 13 and revision ACLRs. We suspect that autologous db ACLR with internal bracing could reduce failure rates and provide earlier return to preinjury activity level in high-risk patients compared with sb ACLR.…”