ACL Tear ( Anterior Cruciate Ligament Tear ) is a common Sports injury in Athletes. It’s Reconstruction by Arthroscopic Surgery is common Knowledge. But, in Adolescents( Teen agers)with Torn ACL, a different technique of surgery called the “ All inside Technique” of Arthroscopic ACL Reconstruction in which the Epiphyseal plate (Growth plate) is not violated. A special instrument called Reverse cutter or “Twister” is used. The photos and Videos show this procedure done in a 13 year old Boy by our team in Dharamshila Narayana Superspeciality Hospital.