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KMID : 1207720160080010110
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Clinics in Orthopedic Surgery
2016 Volume.8 No. 1 p.110 ~ p.114
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Injury to the Anterior Tibial Artery during Bicortical Tibial Drilling in Anterior Cruciate Ligament Reconstruction
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Kim Sang-Bum
Lim Jin-Woo
Seo Jeong-Gook
Ha Jeong-Ku
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Abstract
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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.
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KEYWORD
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Anterior cruciate ligament, Anterior cruciate ligament reconstruction, Compartment syndromes, Arterial embolism, Arterial injury
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