Short term results of anterior cruciate ligament reconstruction using four strand hamstring tendon autograft with endobutton

Objective: To evaluate the results of anterior cruciate ligament (ACL) reconstruction using four strand hamstring tendon autograft. Settings: Hospital for Bone and Joint Surgery Srinagar Kashmir. Material and methods: Thirty patients of anterior cruciate ligament tears underwent arthroscopic ACL reconstruction using four strand hamstring tendon autograft between October 2010 to November 2012. Results: The mean age in our series was 31.8 years with a range from 19-50 years. The male to female ratio was 5:1. Sports injury accounted for 46.7% of the cases. 46.7% of the cases had an associated meniscal injury. The Lysholm score improved from a mean pre-op value of 52.7 ( range 22-81 ) to mean value of 89.7 ( range 62-100 ) at the final follow-up at a minimum of 2 years. The single leg hop measurements improved from a mean pre-op value of 52.37% to mean value of 88.4% at the final follow-up. 93.3% of the patients had either grade 0 or grade 1 Lachman grading at the final follow-up. Conclusion : Arthroscopic ACL reconstruction eliminated symptomatic knee instability associated with a torn ACL. Significant improvements in the functional scores were noted.