Pseudoaneurysm of the Popliteal Artery after Anterior Cruciate Ligament Reconstruction Surgery: A Case Report and Literature Review

Kelvin, Kwok-Wai Tam; Wun, Yiu-Chung; Lau, Chi-Yuk; Chow, Yuk-Yin

doi:10.1016/j.jotr.2013.12.001

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…According to the few reports on pseudoaneurysm following arthroscopic ACL reconstruction with hamstring tendon autograft, popliteal artery is the most frequently injured vessel [5][6][7][8]. Sporadic vascular injuries were also found at different small branches including the articular branch of the descending genicular artery, the perforating branch of the deep femoral artery, and the medial inferior genicular artery [9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm following hamstring tendon harvest in arthroscopic anterior cruciate ligament reconstruction: a case report

Lee

et al. 2020

BMC Musculoskelet Disord

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Background Vascular injury is a very rare complication following arthroscopic knee surgery. This is the first report of pseudoaneurysm at the saphenous branch of the descending genicular artery complicating semitendinosus tendon harvest in arthroscopic anterior cruciate ligament reconstruction. Case presentation A 19-year-old male had developed large ecchymosis, focal swelling and tenderness around his posteromedial knee after an arthroscopic anterior cruciate ligament reconstruction. Compartment syndrome of the lower leg and deep vein thrombosis were ruled out. A pseudoaneurysm formation was confirmed through an angiography and coil embolization was performed. At one year follow up, the patient reported improved functional outcome with good stability of the knee. However, mild paresthesia over the posteromedial calf was noted due to the compression injury of the saphenous nerve by the hematoma. Conclusions The pseudoaneurysm was presumed to result from accidental vascular injury while dissecting the accessory bands of the semitendinosus and was successfully treated by coil embolization. Care must be taken to section the expansions of the hamstring tendon, especially when the patient presents with underlying coagulopathy or vascular disease.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm following hamstring tendon harvest in arthroscopic anterior cruciate ligament reconstruction: a case report

Lee

et al. 2020

BMC Musculoskelet Disord

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“…This may inadvertently occur during passage of the anchor inserter needle anteroposteriorly, given the lack of intraarticular landmarks to determine the artery's location and to guide its trajectory. An injury to the artery may lead to the development of pseudoaneurysms or arteriovenous fistulas [17][18][19] which will most certainly require further surgery and hinder postoperative rehabilitation or much worse, may result in amputations when not detected early. 20 Two studies had previously assessed the risk of popliteal artery injury in the all-inside technique.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the risk of popliteal artery injury in the all-inside meniscus repair based on the location of posterior meniscal lesions

Al-Fayyadh

Tan

Teo

et al. 2019

J Orthop Surg (Hong Kong)

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The ‘all-inside’ meniscus repair is extremely useful technique in addressing tears at the far posterior horn of meniscus. However, this procedure may place the popliteal neurovascular bundle at risk of injury. The purpose of this study was to evaluate the risk of popliteal artery injury by the trajectory of anchor delivery instruments inserted through standard knee arthroscopic portals for the repair of the far posterior horn of meniscus tears. Standard arthroscopic portals were marked on five human cadaveric knees which were subsequently disarticulated. Axial photographs were taken after marking the 5 10, and 15 mm points from the meniscal root on the posterior horns of the menisci. The unsafe zones for meniscus repair at each of these points were identified on the photographs of knees by first drawing two lines from the edges of the popliteal artery and crossing at the respective points at the posterior horns. The points at which these lines meet a circular protractor applied to the center of each meniscus in the knee photograph were recorded as a range. The range signifies the unsafe zone for each respective point on the posterior horn of meniscus. The anterolateral arthroscopic portal fell within the unsafe zone of the 5 mm point on the posterior horn of lateral meniscus in three of the five knees and within the unsafe zone of the 10 mm point on the posterior horn of lateral meniscus in another two knees. A cautious approach should be practiced during the repair of tears located at these two points. None of the other points’ unsafe zones (lateral 15 mm, medial 5 mm, 10 mm and 15 mm points) coincided with the ipsilateral portal sites. Level of evidence 5 (Human cadaveric study)

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Psyeudoaneurysma der A. superior lateralis genus nach vorderer Kreuzbandplastik

Seewald

2024

Arthroskopie

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Pseudoaneurysm of the Popliteal Artery after Anterior Cruciate Ligament Reconstruction Surgery: A Case Report and Literature Review

Cited by 4 publications

References 9 publications

Pseudoaneurysm following hamstring tendon harvest in arthroscopic anterior cruciate ligament reconstruction: a case report

Pseudoaneurysm following hamstring tendon harvest in arthroscopic anterior cruciate ligament reconstruction: a case report

Evaluating the risk of popliteal artery injury in the all-inside meniscus repair based on the location of posterior meniscal lesions

Psyeudoaneurysma der A. superior lateralis genus nach vorderer Kreuzbandplastik

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