Anterior cruciate ligament (ACL) tears are among the most common sports-related injuries. Different types of graft are used to perform ACL reconstruction. Although studies have shown reliable outcomes with allograft tissue, several have reported a higher failure rate in younger patients. Most of these allografts were irradiated. ACL graft augmentation has met with varying levels of success, internal bracing of an allograft represents a promising area in ACL reconstruction surgery. The purpose of this article is to detail allograft preparation with an internal brace augmentation for ACL reconstruction and literature review.