Lee Gwang Chul, Kim Dong Hwi, Park Sung-Hae
Department of Orthopaedic Surgery, Chosun University Hospital, Gwangju, Korea.
Knee Surg Relat Res. 2014 Jun;26(2):121-4. doi: 10.5792/ksrr.2014.26.2.121. Epub 2014 May 30.
Popliteal artery injury is a very rare complication of anterior cruciate ligament (ACL) reconstruction. The authors experienced a case of popliteal arterial pseudoaneurysm after re-revision of ACL reconstruction using Rigidfix for femoral tunnel fixation. Pseudoaneurysm was detected in knee magnetic resonance imaging, which caused pain, limit of motion, common peroneal nerve palsy, leg swelling and symptoms similar to compartment syndrome. After excision and re-anastomosis of the popliteal artery using a greater saphenous vein graft, all symptoms were resolved within 3 months except for common peroneal nerve palsy. So we report on this case with a review of the literature.
腘动脉损伤是前交叉韧带(ACL)重建术一种非常罕见的并发症。作者遇到1例使用Rigidfix进行股骨隧道固定的ACL重建翻修术后发生腘动脉假性动脉瘤的病例。膝关节磁共振成像检测到假性动脉瘤,其导致疼痛、活动受限、腓总神经麻痹、腿部肿胀以及类似骨筋膜室综合征的症状。在使用大隐静脉移植物对腘动脉进行切除和重新吻合后,除腓总神经麻痹外,所有症状在3个月内均得到缓解。因此,我们报告此病例并复习相关文献。