Delayed recurrent hemarthrosis after staple fixation of tibial avulsion fracture of the posterior cruciate ligament: a case report.
This study reports a case of unusual vascular complication related to the staple fixation for the tibial avulsion fracture of the posterior cruciate ligament (PCL). The patient, who experienced recurrent hemarthrosis 12 months after staple fixation for the avulsion fracture of the PCL, was successfully managed by removing the staple and suturing the bleeding focus of the popliteal artery. Injury to the popliteal artery by the prominent staples could be the culprit causing the recurrent hemarthrosis. This type of delayed popliteal artery injury should be kept in mind in open reduction and internal fixation for the tibial avulsion fracture of the PCL.
Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, Seoul, Korea.
Jae Ho
JH
Yoo
Chong Bum
CB
Chang
Tae Seung
TS
Lee
Sang Cheol
SC
Seong
Tae Kyun
TK
Kim
D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D006395:Hemarthrosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011150:Popliteal Artery / Q000293:injuries / Q000601:surgery; D016119:Posterior Cruciate Ligament / Q000293:injuries* / Q000601:surgery*; D012008:Recurrence; D013528:Surgical Staplers; D013978:Tibial Fractures / Q000601:surgery*; D013997:Time Factors