Introduction: Arthroscopic reconstruction of the injured anterior cruciate ligament (ACL) has become the gold standard. Open reconstruction of ACL which was done earlier is not practiced nowadays due to the complications associated such as increased post-operative pain, stiffness, and a lengthy rehabilitation phase. The “ideal graft” for ACL reconstruction is still a topic of debate. The most used grafts are bone patellar tendon bone graft, hamstring graft & quadriceps tendon graft. Many studies have demonstrated comparable functional outcomes for different grafts. The purpose of the study was to assess the outcome of arthroscopic reconstruction of anterior cruciate ligament using quadriceps tendon graft in Kashmiri population with complete ACL rupture injuries.

Materials and Methods: This observational study was carried on 30 patients with correlative findings of ACL injury on clinical examination and MRI analysis. All patients were managed with arthroscopic reconstruction using quadriceps tendon graft. Postoperative evaluation was done on the basis of stability tests, knee scoring (Tegner activity level, IKDC subjective score and Lysholm scoring), subjective assessment of symptoms.

Results: In this study 26 (87%) patients achieved full ROM at the end of final follow-up while 4 (13%) patients had some motion deficit. 15 (50%) patients had excellent functional outcome while 10 (33%) had good outcome. The mean IKDC (International Knee Documentation Committee) subjective score improved from 49.86 (pre-operative) to 89.48 (postoperative).

Conclusion: Arthroscopic ACL reconstruction using quadriceps tendon provides a stable knee with minimal complications. Quadriceps tendon graft does not affect the patellar tendon and thus reduce the risk of intra-patellar scarring.