Functional Outcome of Patients Who Underwent Single Stage Bilateral Anterior Cruciate Ligament Reconstruction

Paul K Jose, John T John, Joice Varghese M J, Divya G, Roncy Savio Kurivilla


Purpose: The ideal treatment for patients presenting with bilateral anterior cruciate ligament (ACL) deficiency remains controversial. The purpose was to evaluate cost and functional results after one-stage bilateral ACL reconstruction using hamstring tendon autograft.

Methods: This prospective study evaluated the mid-term functional outcome of 7 patients (14 knees) who had undergone one-stage bilateral ACL reconstruction.

Results: The median length of hospital stay was 4 (3–5) days. The duration of rehabilitation process in patients with bilateral ACL reconstruction was 6–8 weeks. The mean Lysholm score was 93 (90–95), IKDC score 78.7 (74.7–82.75), and Tegner activity score level 5. The median time to return to full-time work and to full sports was 9 weeks and 8 months respectively. 6 patients (85.7%) in the study group returned to their pre-injury level of activity.

Conclusions: Mid-term clinical results suggested that one-stage bilateral ACL reconstruction using hamstring tendon autograft is clinically effective. For patients presenting with bilateral ACL-deficient knees, one-stage bilateral ACL reconstruction is reproducible, cost effective and does not compromise functional results.


single stage, bilateral reconstruction, ACL, anterior cruciate

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ISSN: 2249 – 2348. Published by: Kerala Orthopaedic Association

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