Injury to the Anterior Tibial Artery during Bicortical Tibial Drilling in Anterior Cruciate Ligament Reconstruction.
10.4055/cios.2016.8.1.110
- Author:
Sang Bum KIM
1
;
Jin Woo LIM
;
Jeong Gook SEO
;
Jeong Ku HA
Author Information
1. Department of Orthopedic Surgery, KonKuk University Medical Center, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Anterior cruciate ligament;
Anterior cruciate ligament reconstruction;
Compartment syndromes;
Arterial embolism;
Arterial injury
- MeSH:
Adult;
Anterior Cruciate Ligament Reconstruction/*adverse effects;
*Compartment Syndromes;
Fasciotomy;
Humans;
*Iatrogenic Disease;
Male;
Necrosis;
*Postoperative Complications;
Republic of Korea;
Tibia/*surgery;
Tibial Arteries/*injuries
- From:Clinics in Orthopedic Surgery
2016;8(1):110-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
Many complications have been reported during or after anterior cruciate ligament (ACL) reconstruction, including infection, bleeding, tibial tunnel widening, arthrofibrosis, and graft failure. However, arterial injury has been rarely reported. This paper reports a case of an anterior tibial arterial injury during bicortical tibial drilling in arthroscopic ACL reconstruction, associated with an asymptomatic occlusion of the popliteal artery. The patient had a vague pain which led to delayed diagnosis of compartment syndrome and delayed treatment with fasciotomy. All surgeons should be aware of these rare but critical complications because the results may be disastrous like muscle necrosis as in this case.
