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Clin Orthop Surg. 2016 Mar;8(1):110-114. English. Case Reports.
Kim SB , Lim JW , Seo JG , Ha JK .
Department of Orthopedic Surgery, KonKuk University Medical Center, Seoul, Korea.
Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

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.

Copyright © 2019. Korean Association of Medical Journal Editors.