 This study evaluated the effectiveness of arthroscopic ACL reconstruction using hamstring autographed in patients aged 17 years and above with ACL injuries. The results showed that the overall mean Licholm knee score improved significantly after surgery, with a mean improvement of 34 points at 12 months post surgery. Additionally, the mean Tegner activity scale score also increased significantly by 19 points at 12 months post surgery. Furthermore, no significant difference was observed between the two groups regarding the incidence of associated lateral or medial meniscal tears. Overall, this study suggests that arthroscopic ACL reconstruction using hamstring autographed is effective in improving both functional and clinical outcomes in patients with ACL injuries. This article was authored by Said Ahmed Sheikh, Naveed Ahmed, Salman Adil, and others.