Is a torn pataller tendon the same or worser than a acl?

Different: They function very differently, so the effects are hard to compare. The initial tear is traumatic in different ways. The patellar tendon ruptures with great force and often breaks through the patella (kneecap) bone. The acl rupture is associated with damage to the cartilage and meniscus. Acl reconstructions have better overall outcomes than patellar tendon repairs, but both are pretty good.