title: Outcome of Simultaneous Arthroscopic Anterior Cruciate Ligament and Posterior Cruciate Ligament Reconstruction With Hamstring Tendon Autograft: A Multicenter Prospective Study.
abstract: BACKGROUND
  Multiligamentous injuries of knee are a complex problem in orthopaedics. Combined ACL-PCL injuries are uncommon, usually associated with knee dislocations. Extremity vascular status is essential because of possible arterio-venous compromise. These complex injuries require a systematic evaluation and treatment. Single setting simultaneous arthroscopic ACL and PCL reconstruction or a staged approach can be adopted to treat these cases.
  
  
  OBJECTIVE
  To evaluate functional outcome of simultaneous arthroscopic ACL and PCL reconstruction with hamstring tendon autograft in multiligamentous knee injuries.
  
  
  METHODS
  This prospective study was performed on 20 patients with combined ACL-PCL injuries who underwent simultaneous arthroscopic ACL-PCL reconstruction with hamstring tendon. Evaluation of functional outcome was by IKDC and Lysholm-Tegner scores.
  
  
  RESULTS
  In 20 patients, mean age 34 years, return to full-time work and to full sports was 8 weeks and 6.2 months respectively. All patients had full range of motion except 2 patients with < 5 degrees flexion loss; 90% had negative Lachmann test; 95% had negative pivot shift and 10% patients had mild posterior drawer at 90 degrees (1+) at final follow up. Mean IKDC score was 90 (range 81 - 94); mean Tegner activity score was 7 and mean Lysholm knee score was 89. 85% returned to preinjury activity level and a 90% satisfaction rate.
  
  
  CONCLUSIONS
  Simultaneous arthroscopic ACL and PCL reconstructions using hamstring tendon for combined ACL and PCL injuries is a clinically effective, safe, time saving and cost-effective procedure with better patient compliance and reproducible for a timely return of motion, strength, and function with favorable outcome.
authors.affiliation: Department of Orthopaedics, Sparsh Hospitals, Hi-Tech Medical College Campus, Health Park, Bhubaneswar, India.
authors.forename: Ranajit
authors.initials: R
authors.lastname: Panigrahi
authors.affiliation: Department of Physiology, Hi-Tech Medical College, Bhubaneswar, India.
authors.forename: Amita
authors.initials: A
authors.lastname: Kumari Mahapatra
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Priyadarshi
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, India.
authors.forename: Dibya
authors.initials: D
authors.lastname: Singha Das
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, India.
authors.forename: Nishit
authors.initials: N
authors.lastname: Palo
authors.affiliation: Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, India.
authors.forename: Manas
authors.initials: M
authors.lastname: Ranjan Biswal
keywords: Arthroscopic; Cruciate; Hamstring; Simultaneous ACL/PCL Reconstruction