Case Report of International Journal of Case Reports
Bilateral Anterior Cruciate Ligament (ACL) Tears treated by double bundle grafting
1 Mr. Sushanta Kr. Das. M. Pharm., 2 Dr. B. Valya. MS (Ortho)., 3 Dr. Sandeep Ankam. B. Pharm., Pharm. D (PB)., 4 Dr. P. Vishnu. M. Pharm., Ph.D.
1 Associate Professor & Co-ordinator, Department of Pharm. D, CMR College of Pharmacy, Kandlakoya (V), Hyderabad – 501401, Telangana State, India; 2 Professor and Head, Department of Orthopaedics, Gandhi Medical College & Hospital, Secunderabad – 500003, Telangana State, India; 3 Department of Pharm. D, CMR College of Pharmacy, Kandlakoya (V), Hyderabad – 501401, Telangana State, India; 4 Professor and Head, Department of Pharmaceutics CMR College of Pharmacy, Kandlakoya (V), Hyderabad – 501401, Telangana State, India
Anterior Cruciate Ligament (ACL) tears are orthopaedic injury, particularly in athlete and youth populations. ACL is composed of longitudinally oriented bundles of collagen tissue arranged in fascicular subunits within larger functional bands. Ligament is surrounded by synovium, thus making it extra-synovial. Unilateral ACL tear is common & seen by sports medicine orthopaedic surgeons. But bilateral ACL injury is extremely rare and reported only three times in the previous literature. In this case of bilateral ACL tear, which was surgically treated and managed by performing arthroscopic double bundle ACL reconstruction in left knee using quadruplet hamstring graft. This particular surgery is a rare practice adopted by orthopaedic surgeons. We would like to highlight that, performing double bundle grafting not only helped the patient back into his sports field in shorter duration, but also shows that orthopaedic surgeons are espousing newer techniques and accomplishment of such procedure opening new dimension in ACL tear management.
Keywords: Bilateral anterior cruciate ligament (ACL) tears, sports medicine, arthroscopic double bundle, hamstring graft.n.