Abstract
We present the first case of an arteriovenous fistula after an all-inside anterior cruciate ligament (ACL) reconstruction. A seventeen-year-old boy had an uneventful ACL reconstruction. Four weeks after surgery, the patient was seen with a pulsating swelling at the lateral distal upper leg. Vascular consultation led to the diagnosis of pseudoaneurysm and arteriovenous fistula of the lateral superior genicular artery. Most likely, fistula is caused by the stab incision for preparation of the femoral tunnel, and no anatomical cause was found. The clinical presentation, previous cases of arteriovenous fistula after arthroscopic ACL reconstruction, possible causes, and management are discussed.
Highlights
Introduction e overall incidence ofanterior cruciate ligament (ACL) injury is 78 per 100,000 persons [1]. e group between 15 and 39 years of age shows an incidence of 85–91 in 100,000 people and could be described as the group at risk [2]
We present the rst case of an arteriovenous stula after an all-inside anterior cruciate ligament (ACL) reconstruction
Since 2013, we have switched to the all-inside ACL reconstruction technique (Arthrex, Munchen). is technique is a modi cation of the full tibial tunnel technique in the form of a tibial socket, resulting in less pain and less traumatic drilling by using the FlipCutter technique and stab incisions [6]
Summary
Introduction e overall incidence ofACL injury is 78 per 100,000 persons [1]. e group between 15 and 39 years of age shows an incidence of 85–91 in 100,000 people and could be described as the group at risk [2]. We present the rst case of an arteriovenous stula after an all-inside anterior cruciate ligament (ACL) reconstruction. The patient was seen with a pulsating swelling at the lateral distal upper leg. Vascular consultation led to the diagnosis of pseudoaneurysm and arteriovenous stula of the lateral superior genicular artery. E clinical presentation, previous cases of arteriovenous stula after arthroscopic ACL reconstruction, possible causes, and management are discussed.
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