BACKGROUND Arthroscopic Anterior cruciate ligament reconstruction is most common surgery in orthopaedic practice. Various types of grafts are available for reconstruction, hamstring tendon graft is commonly used with excellent results. The aim of this study was to evaluate the functional outcome of arthroscopic anterior cruciate ligament reconstruction by quadrupled single bundle hamstring graft through accessory anteromedial portal by clinical outcome score international knee documentation committee (IKDC). MATERIALS AND METHODS A prospective study was done. 30 patients were included in the study based on inclusion and exclusion criteria. All patients underwent arthroscopic anterior cruciate ligament reconstruction with autogenous hamstring tendon graft. All patients were followed up according to postoperative rehabilitation protocol. At final follow up functional assessment was done according to IKDC. RESULTS All cases were males, majority of the patients belonged to 20-30 years age group. The most common cause was sports injuries (53.33%) followed by road traffic accidents (26.66%). 100% patients presented with giving way of the knee. Clicking of knee was appreciated in 66.66%. Swelling and pain was seen in 60% patients. According to IKDC score postoperative recovery as normal was seen in 90% patients whereas 3 patients (10%) graded recovery as abnormal. CONCLUSION Arthroscopic ACL reconstruction with autogenous hamstring graft gives high success rate in view of functional outcome.

Background: Fracture diaphysis of a femur is one of the most common fractures that an orthopedic surgeon comes across. Since femur is one of the principal load bearing bones in the lower extremity, femur diaphyseal fractures resulting from high energy trauma, and are often associated with concomitant injury of internal organs. Thus these fractures are associated with considerable mortality and morbidity. Results: In the present study, we used WINQUEST AND HANSENS CLASSIFICATION to classify the fractures , 14 (46.66%) cases were type 0 fractures; type1 fractures were 6 (21.33%). The age of the patients ranges from 18-70 years, with a mean age of 37.6 yrs. Male predominance was seen; about 76.66% (23 cases) were males and the rest females, i.e., 23.33% (7 cases). Eighteen cases (18) were right-sided, and twelve cases (12) were left-sided fracture diaphysis of the femur