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Updated: Aug 20, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
Lower limb alignment correction can improve knee stability in congenital absence of anterior cruciate ligament
Poppy MacInnes1, Thomas Lorchan Lewis2, Michail Kokkinakis2
1GKT School of Medical Education, King's College London, London, UK poppy.macinnes@gmail.com.
Abstract:
We report the 4-year postoperative outcome of a child with Manner Type I aplasia of the anterior cruciate ligament (ACL) in her left knee and severe genu valgum. The child was experiencing pain, reduced mobility, and frequent left knee locking and instability. The patient was successfully treated with hemiepiphysiodesis (guided growth procedure) of the left knee joint to treat genu valgum deformity using 8-plates, resulting in improvement of knee stability. This spared her major ligament reconstruction of the knee to treat the aplastic ACL, and the patient was able to fully participate in physical activities with peers with no symptoms.
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