Aim: The aim of the present study to evaluate the anterior cruciate ligament reconstruction using a combination of autograft and allograft tendon Methods: Twenty Total 44 patients were included in this study and divided into two equal groups 22 patients. Out of 44 patients, 22 were undergoing for auto graftsand 22 patients for hybrids process. These 22 patients were matched by age (within 1 year) and sex with 22 patients who underwent hamstring autograft ACL reconstruction during the same time period. Collected data included graft size, patient demographics, intraoperative findings, femoral tunnel drilling technique, and patient-reported outcome scores (International Knee Documentation Committee [IKDC],13 Knee injury and Osteoarthritis Outcome Score [KOOS],14 and Marx activity score 15) prior to surgery.