Assessment of functional outcome of arthroscopic assisted anterior cruciate ligament reconstruction using quadrupled hamstring auto-graft: Case series

Abstract

Background: We assessed the functional outcome of the patient following ACL reconstruction using quadrupled hamstring autograft.Methods: In this case series of 21 patients who had ACL insufficiency underwent arthroscopic assisted ACL reconstruction using quadrupled hamstring autograft from November 2019 to March 2021. The functional outcome of patients was assessed with Lyscholm Knee Scoring System and IKDC score.Results: The injury was predominant in males. A larger percentage of cases was operated less than 6 months from the date of injury. The mean graft diameter was 7.90 mm, with a positive correlation to the function of the knee. The preoperative mean Lysholm score of 59.19 improved to 94.95 after surgery. The mean preoperative IKDC score improved from 46.81 to 81.95. Excellent outcome was seen in a majority of patients. Two patients had an infection and one patient had reduced range of motion. The timing of surgery and rehabilitation influence the outcome largelyConclusion: ACL reconstruction surgery with quadrupled hamstring graft provides an excellent outcome in ACL injuries when the surgery is timed well, with sufficient graft thickness and good rehabilitation.