title: Injury to the Anterior Tibial Artery during Bicortical Tibial Drilling in Anterior Cruciate Ligament Reconstruction.
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.
authors.affiliation: Department of Orthopedic Surgery, KonKuk University Medical Center, Seoul, Korea.
authors.forename: Sang Bum
authors.initials: SB
authors.lastname: Kim
authors.affiliation: Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Jin Woo
authors.initials: JW
authors.lastname: Lim
authors.affiliation: Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Jeong Gook
authors.initials: JG
authors.lastname: Seo
authors.affiliation: Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Jeong Ku
authors.initials: JK
authors.lastname: Ha
mesh_terms: D000328:Adult; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D003161:Compartment Syndromes; D000071938:Fasciotomy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D009336:Necrosis; D011183:Postoperative Complications; D056910:Republic of Korea; D013977:Tibia / Q000601:surgery*; D016909:Tibial Arteries / Q000293:injuries*
keywords: Anterior cruciate ligament; Anterior cruciate ligament reconstruction; Arterial embolism; Arterial injury; Compartment syndromes