Bilateral Anterior Cruciate Ligament (ACL) Tears treated by double bundle grafting

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

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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.

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How to cite this article:
Sushanta Kr. Das., B. Valya, Sandeep Ankam,  P. Vishnu. . Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child. International Journal of Case Reports, 2017 1:7. DOI: 10.28933/ijcr-2017-04-1901


1. Sesi DAVS. ”Variation in the Femoral Attachment and Anatomy of Anterior Cruciate Ligament of Knee: A Case Report”. Journal of Evidence based Medicine and Healthcare. 2015; 2(13):2140-44.
2. Johansson H. Role of knee ligaments in proploception and regulation of muscle stiffness. J ElectromyogrKinesiol. 1991; 1:158-79.
3. Johansson H, Sjolander P, Sojka P. Receptors in the knee joint ligaments and their role in the biomechmics of the joint. Crit Rev Biomed Eng. 1992; 18:341-68.
4. Saadat, Ehsan, Emily J. Curry, Xinning Li, Elizabeth G. Matzkin. “Bilateral Simultaneous Anterior Cruciate Ligament Injury: A Case Report and National Survey of Orthopedic Surgeon Management Preference.” Orthopedic Reviews. 2014; 6 (4):5551.
5. Barry P, Boden, Letha Y, Griffin, William E. Garrett Jr. The Physician and Sportsmedicine. 2000; 28:4.
6. Arendt E, Dick R: Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review of literature. Am J Sports Med. 1995; 23(6):694-70.
7. Rajat S. Evaluation of Anterior Cruciate Ligament repair with Iliotibial Band. People’s Journal of Scientific Research. 2010; 3(2):11-16.
8. Tara JM, Lynn SM. Practice Guidelines for Anterior Cruciate Ligament Rehabilitation: A Criterion-Based Rehabilitation Progression. Operative Techniques in Orthopaedics. 1996; 6(3):190-96.
9. Zhou M, Guli, Chen Y, Chang-long Y, Ying-fang AO, Huang H et al., Factors affecting proprioceptive recovery after anterior cruciate ligament reconstruction. Chin Med J. 2008; 121(22):2224-28.
10. Fitzgerald GK, Axe MJ, Snyder-Mackler L. Proposed practice guidelines for nonoperative anterior cruciate ligament rehabilitation of physically active individuals. J Orthop Sports PhysTher. 2000; 30(4):194-203.

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