Abstract

Objective-
To evaluate the functional outcome of arthroscopic single bundle
anterior cruciate ligament reconstruction using quadrupled hamstring
tendon (Gracilis and semitendinosus) autograft in individuals with ACL
injuries.
 
Methods:
There were 20 patients included in our study of which 17 patients
(85%) were male and 3 (15%) were female. 11 patients (60%) had right
side injury while 9 (45%) had injury to the left knee. Most of the patients (35%) were in the age group of 20 to 25 years followed by 30% in the age group of 30 to 35 years.The patients were followed up for an average duration of 17.6 months with minimum follow up of 7 months and maximum follow up of 27 months.Patients were followed at 6 weeks, 6 months and 1 year and functional outcomes assessed. The International Knee Documentation 2000 score(IKDC) and
Lysholm and Gillquist Knee Scoring Scale were used for evaluation of
patients.
 
Results
The mean pre-op IKDC subjective score was 50.86 while the mean
post op score was 87.66. There was improvement in post op
IKDC score when compared with pre op score (p<0.05).One patient had superficial infection settled with intravenous antibiotics. One patient developed deep infection with gaping of the wound. The patient underwent debridement and closure with intravenous antibiotics.One patient developed fixed flexion deformity of 10 degrees with range of movements ranging from 10 to 90 degrees.
 
Conclusion
9 patients (45%) had excellent functional outcome while 8 patients
(40%) had good outcome. The remaining 3 patients (15%) had a fair
outcome according to Lysholm knee score. 10 patients(50%) returned to complete active daily activities by 7 weeks postop, 7 (35%)returned to activities 10 weeks postop while 3(15%) returned to routine activities by 11 weeks.