Clinical outcome of Arthroscopic Anatomical Anterior cruciate ligament reconstruction using single bundle Hamstring tendon

Background: Anatomical single bundle arthroscopic Anterior cruciate ligament (ACL) reconstruction has been the standard treatment for ACL injured patients. It is a minimally invasive procedure that allows the surgeon to understand the internal derangements of the knee joint. ACL is the commonly injured ligament in young adults. The purpose of Arthroscopic ACL reconstruction is to restore the normal kinematics of knee joint Aim: To evaluate the Clinical outcome of Arthroscopic Anatomical ACL reconstruction using single bundle Hamstring tendon Materials and methods: It is a prospective study of 15 cases of young injured ACL patients who underwent Arthroscopic Anatomical ACL reconstruction using single bundle Hamstring tendon with endobutton fixation in femoral side and Interference screw in tibial side carried out in our Department of Orthopaedics, Thanjavur medical college from April 2015 to July 2016. All the patients were included in the study after clinical and radiological examination. Results: Post op evaluation was done using Lysholm score. All the patients in our study had a negative Lachman and pivot test in the follow up. No patients in our study needed revision. In our study good to excellent result was observed in 80 % of the cases, fair in 13 of the cases and poor outcome in 7 % of the cases. Conclusion: Arthroscopic Anatomical ACL reconstruction using single bundle Hamstring tendon gives good functional results. Good to excellent results have been associated with pure ACL injury whereas poor result was associated with chondral injury.