Inclusion Criteria:  Age 18 and under Surgery within 6 months of injury Undergoing primary ACL reconstruction without previous injury or surgery Autograft ACL reconstruction Closing or closed physes  Exclusion Criteria:  Over 18 years old Previous ipsilateral knee injury or surgery Neuromuscular or developmental disorders affecting knee anatomy, cognition, or neuromuscular control Other concomitant ligament reconstruction aside from the ALL (i.e., MCL, PCL, PLC) Revision ACL reconstruction Allograft ACL reconstruction IT band (modified MacIntosh) ACL reconstruction A cartilage lesion requiring anything more than debridement Open physes requiring both femoral and tibial physeal-sparing technique