Inclusion Criteria:  Males and females 18 years of age and older, with no upper age limit A candidate for primary autologous BPTB ACLR Willing to participate in the study  Exclusion Criteria:  Concomitant ligamentous or chondral injury Prior surgery on the index knee Prior history of anterior knee pain or patellofemoral joint pain on the index knee Outerbridge classification > 2 assessed during arthroscopy