Ligament Reconstruction in Congenital Absence of the Anterior Cruciate Ligament

HSS Journal - Volume 11, Number 2, July 2015

Jorge Chahla, MD
Orthopedic Department, Sports Medicine, Buenos Aires British Hospital, Buenos Aires, Argentina

Cecilia Pascual-Garrido, MD
Orthopedic Department, Sports Medicine, University of Colorado, Boulder, CO

Scott A. Rodeo, MD
Scott A. Rodeo, MD
Attending Orthopaedic Surgeon, Hospital for Special Surgery
Professor of Orthopaedic Surgery, Weill Cornell Medical College


Congenital absence of the anterior cruciate ligament (ACL) is an extremely rare condition (0.017 per 1000 live births) [12]. It has been reported as an isolated entity [1, 14] or associated with other abnormalities such as congenital femoral deficiency, fibular hemimelia, scoliosis, hip dysplasia, and dysplasia of the tibial intercondylar eminence [4, 9, 10, 14]. It was first reported by Giorgi [8] in 1956 in a radiographic study, and since then, several case reports have been published [4, 11]. Most reports describe patients with no complaints of instability (despite having positive objective instability tests) but pain due to osteoarthritis of the medial femorotibial joint [12].

This article appears in the HSS Journal: Volume 11, Issue 2.
View the full HSS Journal article at

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.


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