Arthroscopic Evaluation Followed by Reconstruction of Both Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL) Injuries
Md. Hazrat Ali Miah
Assistant Professor Department of Orthopaedics Nilphamari Medical College Nilphamari, Bangladesh Email: ali.rpmc22@gmail.com
Md. Anisur Rahman
Assistant Professor Department of Surgery Nilphamari Medical College Nilphamar.
Keywords: Arthroscopic reconstruction, ACL, PCL, Multiligament knee
Injury, Functional Outcome
Abstract
Background:
Knee ligament injuries involving combined anterior cruciate ligament
(ACL) and posterior cruciate ligament (PCL) lead to substantial
instability, often affecting young, active individuals following
high-energy trauma.
Objective:
This study aimed to evaluate the outcomes of arthroscopic assessment
followed by reconstruction of both the ACL and PCL in patients with
combined knee ligament injuries.
Methods:
This prospective observational study was conducted at the Nilphamari
Medical College, from July 2024 to June, 2025. All 80 patients aged
18-50 years had MRI-confirmed combined injuries and underwent
standardized arthroscopic techniques using hamstring or alternative
grafts. Functional improvement was assessed at 3, 6, and 12 months.
Results:
Most patients were men, primarily injured in road traffic accidents, and
arthroscopy frequently revealed associated meniscal and cartilage
lesions. By 12 months, Lysholm, IKDC, and Tegner scores improved
significantly, with high overall satisfaction and a substantial return to
sports. Complications remained modest, mainly arthrofibrosis and
residual instability.
Conclusion:
Arthroscopic reconstruction yielded strong short-term recovery and
functional restoration when combined with timely surgery and
structured rehabilitation.
J Rang Med Col. March 2026; Vol.11, No.1:21-26
DOI:https://doi.org/10.3329/jrpmc.v11i1.89945