Symmetric limb overgrowth following anterior cruciate ligament reconstruction in a skeletally immature patient.
This report describes a case of symmetric femoral and tibial overgrowth of 2.8 cm in a 13-year-old patient after undergoing reconstruction surgery for his torn right anterior cruciate ligament. A literature review of previous cases is also provided. Following a pediatric anterior cruciate ligament tear, delaying surgery until the patient approaches skeletal maturity may avoid long-term growth disturbances, however, delaying this procedure may increase the probability of further joint damage. This growth disturbance was managed with a percutaneous epiphysiodesis that corrected the limb length deformity.
aTuckahoe Orthopaedic Associates Ltd, Richmond, Virginia bRubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland, USA.
Lance J
LJ
Zimmerman
Julio J
JJ
Jauregui
Jacob F
JF
Riis
Hans Robert
HR
Tuten
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D001182:Arthroscopy; D002648:Child; D005269:Femur / Q000254:growth & development; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007866:Leg / Q000254:growth & development*; D007870:Leg Length Inequality / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D013977:Tibia / Q000254:growth & development; D013997:Time Factors