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Davanzo D, Fornaciari P, Barbier G, et al. Review and Long-Term Outcomes of Cruciate Ligament Reconstruction versus Conservative Treatment in Siblings with Congenital Anterior Cruciate Ligament Aplasia. Case Rep Orthop. 2017;2017:1636578doi: 10.1155/2017/1636578.
Davanzo, D., Fornaciari, P., Barbier, G., Maniglio, M., & Petek, D. (2017). Review and Long-Term Outcomes of Cruciate Ligament Reconstruction versus Conservative Treatment in Siblings with Congenital Anterior Cruciate Ligament Aplasia. Case reports in orthopedics, 20171636578. https://doi.org/10.1155/2017/1636578
Davanzo, Diego, et al. "Review and Long-Term Outcomes of Cruciate Ligament Reconstruction versus Conservative Treatment in Siblings with Congenital Anterior Cruciate Ligament Aplasia." Case reports in orthopedics vol. 2017 (2017): 1636578. doi: https://doi.org/10.1155/2017/1636578
Davanzo D, Fornaciari P, Barbier G, Maniglio M, Petek D. Review and Long-Term Outcomes of Cruciate Ligament Reconstruction versus Conservative Treatment in Siblings with Congenital Anterior Cruciate Ligament Aplasia. Case Rep Orthop. 2017;2017:1636578. doi: 10.1155/2017/1636578. Epub 2017 May 14. PMID: 28589051; PMCID: PMC5446890.
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Case Rep Orthop. 2017;2017:1636578. doi: 10.1155/2017/1636578. Epub 2017 May 14.

Review and Long-Term Outcomes of Cruciate Ligament Reconstruction versus Conservative Treatment in Siblings with Congenital Anterior Cruciate Ligament Aplasia.

Case reports in orthopedics

Diego Davanzo, Paolo Fornaciari, Geoffroy Barbier, Mauro Maniglio, Daniel Petek

Affiliations

  1. Clinic of Orthopedic Surgery, Kantonsspital Fribourg, Chemin des Pensionnats 2-6, 1708 Fribourg, Switzerland.
  2. Department of Orthopaedics, Balgrist University Hospital, Forchstrasse 340, 8008 Zürich, Switzerland.

PMID: 28589051 PMCID: PMC5446890 DOI: 10.1155/2017/1636578

Abstract

There is no consensus on the best treatment for anterior cruciate ligament hypoplasia or aplasia. To our knowledge, no comparative study between operative and conservative treatment of this condition has ever been performed. Conservative treatment is a viable alternative to surgery for ACL aplasia. Two siblings were examined at our outpatient clinic. The male patient underwent bilateral ACL reconstruction, while his sister was treated conservatively. Our results show a worse long-term outcome for the operative patient. At her last follow-up, the female patient treated conservatively showed subjective improvement in stability and gait. A review of the literature shows inconsistent outcomes after reconstruction in contrast to reports with cruciate ligament agenesis that did not undergo reconstruction with acceptable to good outcomes. Cruciate reconstruction should be reserved for cases of impaired articular instability, objectively manifest in the frequency of giving-way episodes. Treatment depends on the patient's condition and expectations. Surgery should therefore only be suggested after proper patient counseling.

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