Related Experiment Video
Updated: Sep 17, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
ACL Reconstruction in Patient with ACL Agenesis and Prior Transtibial Amputation: A Case Report
Harmanjeet Singh1, Catherine Hand1, Camden Bohn1
1Rush University Medical Center, Chicago, Illinois.
Case:
A 38-year-old male patient with congenital absence of the anterior cruciate ligament (ACL) and fibular hemimelia status post-transtibial amputation presented with knee instability and pain after sustaining a noncontact injury. After diagnosis of a lateral meniscal root tear and confirmed absence of an ACL, the patient underwent ACL construction with bone-patellar tendon-bone allograft and lateral meniscal root repair. The patient returned to his preinjury functional state without recurrent ACL injury or other complication at 2 years postoperatively.
Conclusion:
ACL reconstruction in a patient with ACL agenesis and concurrent transtibial amputation may improve knee stability and reduce likelihood of recurrent injury.

