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Case Report
A prospective case report of anterior cruciate ligament reconstructions in identical adolescent female twins with open physes using single versus double hamstring grafts
1 Department of Orthopaedics, Queensland Children’s Hospital, Brisbane, Australia
2 Department of Physiotherapy, Queensland Children’s Hospital, Brisbane, Australia
3 Department of Physiotherapy, Mater Hospital, Brisbane, Australia
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Garrett Malayko
Department of Orthopaedics, Queensland Children’s Hospital, Brisbane,
Australia
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Article ID: 100021Z14GM2021
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How to cite this article
Malayko G, Bradford K, Camilleri L, Cotter D, Carty CP, Bade D. A prospective case report of anterior cruciate ligament reconstructions in identical adolescent female twins with open physes using single versus double hamstring grafts. J Case Rep Images Orthop Rheum 2021;5:100021Z14GM2021.ABSTRACT
Introduction: We present a unique scenario involving identical adolescent female twins with open physes who sustained right anterior cruciate ligament ruptures on consecutive days while playing touch football.
Case Report: Our study design was a prospective case report to assess and compare two-year post-operative outcomes of different, randomly assigned surgical reconstruction techniques performed by a single surgeon on the same day, two months post-injury. The twins subsequently underwent similar and concurrent rehabilitation with the same physiotherapist. Data was collected, including admission details, pre-, peri-, and post-operative self-reported function, quality of life, objective laxity, physical, functional, radiological, and psychological measurements.
Conclusion: Similar outcomes for quality of life and self-reported function. Similar outcomes for range of movement, dynamic balance, neuromuscular control, propulsion, two-dimensional motion analysis, and agility tests. Minor differences in post-operative analgesia requirements measured differences in the hamstring and anterior cruciate ligament cross-sectional area, and objective anterior-posterior tibiofemoral joint laxity between the twins.
Keywords: Adolescent, Anterior cruciate ligament (ACL) reconstruction, Pediatric, Twins
SUPPORTING INFORMATION
Author Contributions
Garrett Malayko - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kylie Bradford - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Linda Camilleri - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Deb Cotter - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Christopher P Carty - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
David Bade - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Garrett Malayko et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
