ArticleJournal of orthopaedic case reports2026
All-Inside Anterior Cruciate Ligament Reconstruction: A Minimally Invasive Bone Preserving Approach with Promising Functional Outcomes.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Anterior cruciate ligament (ACL) injury is a common knee ligament injury affecting young and physically active individuals. Arthroscopic ACL reconstruction is the standard treatment for symptomatic tears to restore knee stability and function. The all-inside ACL reconstruction technique using hamstring autograft has gained popularity because of its minimally invasive nature and preservation of bone stock. This study aimed to prospectively evaluate the short-term functional outcomes of all-inside ACL reconstruction using hamstring autograft in patients with complete ACL tears. Materials and Methods: This prospective study was conducted at Gandhi Medical College, Bhopal, and associated Hamidia Hospital. Thirty-six patients aged 18-50 years with clinically and radiologically confirmed ACL tears were included. All patients underwent arthroscopically assisted all-inside ACL reconstruction using hamstring autograft. Pre-operative evaluation included clinical examination, radiological assessment, and functional scoring using Lysholm-Tegner score, International Knee Documentation Committee (IKDC) score, and Visual Analog Scale. Patients were followed at 1, 3, and 6 months postoperatively to assess stability and functional outcomes. Results: Most patients were aged 18-29 years, and male patients predominated. Road traffic accidents were the most common mechanism of injury. Most surgeries were performed within 1-3 months after injury. The majority of grafts measured 6-6.5 cm in length with an 8 mm diameter. Post-operative evaluation showed negative Lachman, anterior drawer, and pivot shift tests in all patients, with no varus or valgus instability. Most patients achieved excellent or good Lysholm-Tegner scores, whereas IKDC grading showed normal or near-normal knee function in all cases. Conclusion: All-inside ACL reconstruction using hamstring autograft provides good short-term functional outcomes with restoration of knee stability in patients with complete ACL tears.
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