Anterior Cruciate Ligament Reconstruction With Achilles Tendon Allograft in a Patient With Ehlers-Danlos Syndrome

Jeffrey Choi, BA, Kelvin Naito, BS, Emily J. Curry, BA, and Xinning Li,MD

Abstract

Ehlers-Danlos Syndrome (EDS) can cause recurrent dislocation and subluxation of joints due to ligamentous and capsular laxity, often leading to surgical interventions. Graft choice for ACL reconstruction is particularly important for EDS patients, since autograft options will increase risk of failure due to the abnormally lax tissue quality in these patients; however, few studies discuss considerations for EDS patients undergoing ACL reconstruction. We present a case of a 25-year-old male who underwent successful ACL reconstruction using Achilles allograft based on suspicions of EDS upon examination in the operative room. We discuss about the clinical presentations of EDS to identify during examination as well as the perioperative management for EDS-suspected patients.