Introduction: Anterior cruciate ligament (ACL) reconstruction can be performed using single-bundle or double-bundle techniques. The former employs a single graft, while the latter uses two grafts for ACL reconstruction. The primary aim of ACL reconstruction is to restore knee joint stability and enable patients to resume their pre-injury activities. Debate exists regarding the superiority of one technique over the other. Some studies suggest that double-bundle reconstruction yields superior long-term functional outcomes compared to single-bundle reconstruction, while other research finds no substantial distinction between the two methods.

Methodology: This study included 100 patients who met the specified criteria, and they were randomly divided into two groups of 50 each. One group underwent single-bundle ACL reconstruction, and the other group underwent double-bundle ACL reconstruction. Postoperatively, both groups were monitored at 3, 6, 12, and 24 months using the Knee Society Score (KSS) to assess clinical outcomes. Complications were also evaluated and correlated with the outcomes, with the findings tabulated.

Results: The study results indicate that there is no statistically significant disparity in clinical outcomes between single-bundle and double-bundle ACL reconstruction at the 3, 6, 12, and 24 months follow-up points, as assessed by the KSS score. However, the double-bundle group displayed a slightly elevated complication rate (10%) compared to the single-bundle group (5%).