Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report
<b>Purpose:</b> Multi-ligament reconstruction in adolescent patients affected by congenital femoral deficiency is an extremely rare and delicate surgical procedure. There are very few reported cases of complete anterior and posterior cruciate ligament agenesis in these patients. <b>...
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2024-12-01
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| author | Simone Giusti Maria Beatrice Bocchi Edoardo De Fenu Osvaldo Palmacci Ezio Adriani |
| author_facet | Simone Giusti Maria Beatrice Bocchi Edoardo De Fenu Osvaldo Palmacci Ezio Adriani |
| author_sort | Simone Giusti |
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| description | <b>Purpose:</b> Multi-ligament reconstruction in adolescent patients affected by congenital femoral deficiency is an extremely rare and delicate surgical procedure. There are very few reported cases of complete anterior and posterior cruciate ligament agenesis in these patients. <b>Methods:</b> We present a complex case of a 16-year-old girl affected by congenital femoral deficiency and ipsilateral tibial hypoplasia who was treated successfully for a complete agenesis of the anterior (ACL) and posterior (PCL) cruciate ligament with single-sitting ACL and PCL reconstruction. <b>Results:</b> The adolescent patient was successfully reconstructed with excellent clinical results. <b>Conclusions:</b> Knee MRI (Magnetic Resonance Imaging) should be requested in all patients affected by congenital femoral deficiency to exclude ligamentous agenesis. Where present, these should be reconstructed at an early stage as soon as limb-lengthening procedures are completed. If still skeletally immature, physeal-sparing surgical techniques should be implemented. |
| format | Article |
| id | doaj-art-da5b35647a284d4daff3d4ca7e6444d5 |
| institution | Kabale University |
| issn | 2039-7283 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Clinics and Practice |
| spelling | doaj-art-da5b35647a284d4daff3d4ca7e6444d52025-01-24T13:27:38ZengMDPI AGClinics and Practice2039-72832024-12-01151110.3390/clinpract15010001Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case ReportSimone Giusti0Maria Beatrice Bocchi1Edoardo De Fenu2Osvaldo Palmacci3Ezio Adriani4Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 00128 Roma, ItalyDepartment of Trauma and Orthopaedic Surgery, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Roma, ItalyComplex Operational Unit of Sports Traumatology and Joint Reconstruction, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Roma, ItalyDepartment of Trauma and Orthopaedic Surgery, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Roma, ItalyComplex Operational Unit of Sports Traumatology and Joint Reconstruction, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Roma, Italy<b>Purpose:</b> Multi-ligament reconstruction in adolescent patients affected by congenital femoral deficiency is an extremely rare and delicate surgical procedure. There are very few reported cases of complete anterior and posterior cruciate ligament agenesis in these patients. <b>Methods:</b> We present a complex case of a 16-year-old girl affected by congenital femoral deficiency and ipsilateral tibial hypoplasia who was treated successfully for a complete agenesis of the anterior (ACL) and posterior (PCL) cruciate ligament with single-sitting ACL and PCL reconstruction. <b>Results:</b> The adolescent patient was successfully reconstructed with excellent clinical results. <b>Conclusions:</b> Knee MRI (Magnetic Resonance Imaging) should be requested in all patients affected by congenital femoral deficiency to exclude ligamentous agenesis. Where present, these should be reconstructed at an early stage as soon as limb-lengthening procedures are completed. If still skeletally immature, physeal-sparing surgical techniques should be implemented.https://www.mdpi.com/2039-7283/15/1/1congenital femoral deficiencyposterior cruciate ligamentanterior cruciate ligamentagenesiscase report |
| spellingShingle | Simone Giusti Maria Beatrice Bocchi Edoardo De Fenu Osvaldo Palmacci Ezio Adriani Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report Clinics and Practice congenital femoral deficiency posterior cruciate ligament anterior cruciate ligament agenesis case report |
| title | Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report |
| title_full | Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report |
| title_fullStr | Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report |
| title_full_unstemmed | Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report |
| title_short | Multi-Ligament Reconstruction in an Adolescent Female Affected by Congenital Femoral Deficiency and Complete Anterior and Posterior Cruciate Ligament agenesis: A Case Report |
| title_sort | multi ligament reconstruction in an adolescent female affected by congenital femoral deficiency and complete anterior and posterior cruciate ligament agenesis a case report |
| topic | congenital femoral deficiency posterior cruciate ligament anterior cruciate ligament agenesis case report |
| url | https://www.mdpi.com/2039-7283/15/1/1 |
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