Anterior cruciate ligament reconstruction has become one of the most common arthroscopic procedures performed on the knee. Complications from this reconstructive surgery, although uncommon, can be devastating to the overall function of the knee. Several strategies exist to avoid potential complications related specifically to graft harvest and implantation, and to complications related to the bone-patellar tendon-bone and hamstring autografts, and patellar tendon allograft, the most common grafts currently used.