title: Bilateral ACL Reconstructions with Hamstring Autografts.
abstract: Bilateral anterior cruciate ligament (ACL) injuries are rare with incidence between 2 and 4%, and presently no definitive guidelines for proper management exist. Ideal treatment protocol remains controversial between a single-stage and two-stage bilateral ACL reconstruction. The purpose of this study is to evaluate the outcome of single-stage bilateral ACL reconstruction with hamstring tendon autografts in bilateral ACL injuries. A prospective study was undertaken including a total of 14 consecutive patients with bilateral ACL deficient knee who underwent single-stage bilateral ACL reconstruction with hamstring tendon autograft with a mean follow-up duration of 28 months (24-38 months). Functional outcomes were evaluated by range of movements, International Knee Documentation Committee (IKDC), Lysholm and Tegner activity score, and stability tests. The mean age was 30 years (range 18-42 years). Average duration of rehabilitation was 8 weeks. Time to return to full-time work and full sports was 5.6 weeks and 6.2 months, respectively. Clinical examination demonstrated full range of motion; a total of 12 patients (86%) had a negative Lachman test and 13 patients (93%) had a negative pivot shift at the final follow-ups. The mean IKDC evaluation score was 89 points, the mean Tegner activity score was 7 points, and the mean Lysholm knee score was 91 points. A total of 12 patients (86%) returned to their preinjury level of activity and an overall greater than 90% satisfaction rate was achieved. Single-stage bilateral ACL reconstruction using hamstring autografts is clinically safe, effective, and cost-effective with better patient compliance and with comparable functional outcome as opposed to two-stage ACL reconstructions.
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.
authors.forename: Ranajit
authors.initials: R
authors.lastname: Panigrahi
authors.affiliation: Department of Physiology, Hi-Tech Medical College, Bhubaneswar, Odisha, India.
authors.forename: Amita Kumari
authors.initials: AK
authors.lastname: Mahapatra
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Priyadarshi
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.
authors.forename: Nishit
authors.initials: N
authors.lastname: Palo
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.
authors.forename: Manas R
authors.initials: MR
authors.lastname: Biswal
mesh_terms: D000293:Adolescent; D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D011446:Prospective Studies; D016059:Range of Motion, Articular; D013710:Tendons / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult