Introduction:

When there is injury to both knees of the anterior cruciate ligament (ACL), the surgeon has the option to reconstruct both in a staggered manner or simultaneously. There are some reports and case series where the ACL is performed simultaneously. In this manuscript we present a case and the result with simultaneous reconstruction.

Clinical case:

40-year-old male with no history of importance with bilateral ACL injury; torniquet-free surgery was performed with autograft of hamstrings, secured with endobutton and interference screws. In the postoperative period, and an accelerated program of physical rehabilitation were immediately initiated. At five months of follow-up the patient is painless, with full, symmetrical knee range of motion. No complications reported. WOMAC’s functional scale dropped from 35 preoperative to 6 in the last visit. Until now, simultaneous reconstruction of the LCA was a safe procedure; however, we know that our follow-up is too short to make any other assertions.