The anterior cruciate ligament (ACL, See Table 1 for acronyms used throughout) is an essential soft tissue stabilizer within the knee joint, connecting the lateral femoral condyle to the tibial plateau. Like other ligaments and tendons, the ACL is primarily composed of a highly aligned, hierarchical, and fibrous collagen matrix (Hirokawa et al., 2002;Strocchi et al., 1992;Zhu et al., 2012). This structure allows the ACL to resist excessive translation and rotation of the knee joint during daily activities and sports (Bates et al., 2019;Woo et al., 2006;Woo & Fisher, 2009). ACL injuries are debilitating, having an annual incidence of 200,000 in the United States alone (Griffin et al., 2006;Mall et al., 2014). Unlike extra-articular ligaments, intra-articular ligaments like the ACL have limited healing capacity, likely due to the surrounding synovial fluid environment (Murray et al., 2000;Spindler et al., 2006).Various materials have been used in ACL reconstruction and repair (Figure 1). The current clinical standard of care for many active patients is surgical intervention to restore knee stability, namely ACL reconstruction using soft tissue grafts. Yet, 30%-80% of patients develop osteoarthritis (OA) within 10-15 years post-in-