Introduction: Knee joint derangement has a phenomenal growth in modern times owing to the immense expansion of industrial development, heavy vehicular traffic with increase in the number of accidents and enormous progress in sports-athletics. The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. Hamstring autografts have gained popularity for anterior cruciate ligament (ACL) reconstruction in recent years primarily due to significantly decreased postoperative pain and morbidity, allowing easier rehabilitation, compared with patellar tendon auto-grafts. The current study is aimed to compare different modalities of treatment of ACL injuries-arthroscopically, open procedure, mini open and pullout suturing Aim: To compare different modalities of treatment of ACL injuries-arthroscopically, open procedure, mini open and pullout suturing. Materials and Methods: This was a prospective study where all young and middle aged patients presenting with knee complaints and history of trauma to the knee in the Orthopaedics emergency and out patient department were evaluated by a thorough general and local clinical examination of the knee. The patients were included as per the specified inclusion criteria. The patients were treated using different modalities of treatment of ACL injuries-arthroscopically, open procedure, mini open and pullout suturing. The Post operative assessment was done by Lysholm Knee Score scale.Results and Discussion: In our study 52% of the patients who were treated with semitendinosus graft gave Excellent results on Lysholm Grading Scale and 55% of the patients who were operated with Quadriceps graft showed Excellent Grading on Lysholm Scale which means there is no statistical difference between outcome of ACL reconstruction and type of graft used. Also there is no significant statistical difference between type of Bundle And outcome according to Lysholm Grading as 55% of those treated with Single Bundle showed excellent results while 44% of those treated with double bundle showed excellent outcome according to Lysholm grading. Conclusion: Arthroscopic repair in ACL tear shows definitely better results with better outcome as compared to open repair of ACL tear.