Background: The goal of this study is to evaluate the clinical outcome of arthroscopic ACL reconstructions, subjectively and objectively using the ALL PRESS-FIT fixation technique . This study will evaluate the results of this technique, highlight its limitations and point out to its complications. Subjects and methods: From July 2012 to October 2013, a prospective study was undertaken to assess the results of arthroscopic reconstruction of the ACL totally no hardware (press-fit technique) using hamstring tendons on 30patients with torn ACL .The follow up period ranges from 7 months to 1.5 yrs after surgery. All patients were discharged on the 2nd day after surgery and were followed up at 1st, 2nd, 6th week post operative, then at 3 months. Results: Subjectively, all of the patients in our study group reported improvement in the functional ratings of their knees from pre to post operative. None of the patient has rated his knee to be the same or worsened after the operation. Almost 93.4 % of our patients rated their Knees from 0 to 4 preoperatively and their knees were categorized severely abnormal or they were unable to use their knees in the usual daily activities. On the other hand, 96.6 % postoperatively have rated their knees to be normal with excellent fimction or at least nearly normal. Conclusion: All press fit technique can be used safely and successfully in ACL reconstruction surgeries and represent a good alternative among other options for ACL reconstruction.
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