Anterior cruciate ligament (ACL) injuries are among the most prevalent knee injuries, often requiring surgical reconstruction to restore knee stability and function. Objectives: In this study we aimed to investigate the rate of re rupture of the anterior cruciate ligament after tibial strut- preserving ACL reconstruction. Methodology of the study: This prospective cohort study was conducted at Sahiwal International hospital, from November 2022 to November 2023. The research included 98 patients who underwent anterior cruciate ligament (ACL) reconstruction surgery using the tibial strut preserving technique. Data were collected including preoperative assessments, medical history, physical examinations, and imaging studies such as magnetic resonance imaging (MRI) or computed tomography (CT) scans. Postoperative evaluations were conducted at regular intervals to monitor patient outcomes, including functional outcomes, graft integrity, and the occurrence of re-ruptures. Results: Data were collected from 98 patients. Mean age of the patients was 32.7 ± 5.4 years. There were 55 (56.1%) male and 43 (43.9%) female patients, and out of 98 patients 70 (71.4%) belongs to middle class status. The International Knee Documentation Committee (IKDC) score exhibited a mean of 82.4 ± 7.6, indicating moderate to good knee function. The Lysholm score, measuring knee function and symptoms, yielded a mean of 89.2 ± 6.8, indicating a relatively high level of knee function and minimal symptoms. ACL reconstruction, resulting in a re-rupture rate of 10%. Conversely, in another group of 98 patients who underwent traditional ACL reconstruction, the re-rupture rate was observed to be slightly higher at 15%. Conclusion: It is concluded that Tibial Strut-Preserving ACL Reconstruction demonstrates a lower re-rupture rate compared to Traditional ACL Reconstruction. This suggests that preserving the tibial strut may contribute to improved stability and durability of the reconstructed ACL.