Introduction: Restoration of the stability of the knee joint is the main goal of the ACL reconstruction. Other benefits include allowing the patient to return to normal activities, including sports; and to delay the onset of osteoarthritis with associated recurrent injuries to the articular cartilage and loss of meniscal functions. Surgical management of the anterior cruciate ligament deficient knee has been evolved from the primary repair to anterior cruciate ligament reconstruction using biologic tissue grafts. Methodology: A prospective and retrospective study was conducted in the Department of Orthopedics, and about 30 patients with anterior cruciate ligament injury attending the department of Orthopedics were included in the study. Results: After two years, 86.7% of the patients in PTB group and 93.3% in the STG group had extensor lag of less than 3 degrees. About 13.3% of the patients in PTB group and 6.7% in the STG group had extensor lag of 3–5 degrees. Conclusion: The clinical and functional evaluation of both the grafts was found to be same with slight preponderance towards hamstring grafts.

Keywords: ACL Reconstruction; Hamstring Grafts; Articular Cartilage.