Background: Arthroscopic ACL reconstruction is done with different type of autografts, and with different surgical and fixation techniques. This study aimed to evaluate the functional results and patient satisfaction after arthroscopic ACL reconstruction with tripled hamstring tendon autograft. Methods: The diagnosis was done on the basis of clinical examination and MRI findings. Preoperative Lysholm scores were evaluated, and patient satisfaction was assessed postoperatively. All patients underwent arthroscopic single-bundle ACL reconstruction using tripled hamstring tendon autografts. Meniscectomy was done for degenerative changes and irreparable meniscal injuries. Results: The mean preoperative Lysholm score was 40.5 ± 19.8. More than 90 % of the patients achieved well to excellent Lysholm scores. None of the patient was dissatisfied postoperatively. Conclusion: Arthroscopic reconstruction of chronic ACL tear with single-bundle tripled hamstring tendon autografts, along with comprehensive rehabilitation, leads to positive knee function outcomes and high levels of patient satisfaction, with minimal occurrence of failure and complications.