Femoral tunnel preparation
An anatomic single-bundle reconstruction will be performed. The ACL femoral footprint will be identified and a point between the AM and PL bundles will be selected, erring towards the AM bundle. The position will be confirmed from the medial portal. A Spade Tip guide wire (Arthrex, Naples, FL, USA) will be passed via the anteromedial portal with the knee in maximum flexion and the tunnel length measured off the Spade Tip drill guide. A femoral reamer corresponding to the graft femoral diameter will be drilled via the anteromedial portal over the SpadeTip wire (Arthrex, Naples, FL, USA) to a depth of 25 to 30mm. A shuttling suture will be placed.