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Updated: Dec 2, 2025

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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[Rare Vascular Complication after ACL Reconstruction].

M Hanus1, R HudÁk

  • 1Klinika dětské a dospělé ortopedie a traumatologie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|November 4, 2020
PubMed
Summary
This summary is machine-generated.

Anterior cruciate ligament reconstruction is common, but rare vascular complications can occur. This case highlights bleeding into the medial gastrocnemius muscle, successfully treated with angiography and coiling.

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Last Updated: Dec 2, 2025

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Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Anterior cruciate ligament (ACL) reconstruction is a frequent arthroscopic knee surgery.
  • While generally safe, complications occur in 3-7% of cases, mostly minor.
  • Severe complications like deep vein thrombosis and infections are rare (<1%).

Purpose of the Study:

  • To report a rare case of vascular complication following ACL reconstruction.
  • To describe the diagnostic and treatment approach for arterial bleeding into the medial gastrocnemius muscle.

Main Methods:

  • Case report of a patient experiencing calf hematoma post-ACL reconstruction.
  • Diagnostic workup included angiography to identify the source of bleeding.
  • Treatment involved endovascular embolization (coiling) of the affected artery.

Main Results:

  • A rare vascular complication, bleeding into the medial gastrocnemius muscle, was identified.
  • Angiography confirmed arterial bleeding from the inferior medial genicular artery.
  • Successful treatment was achieved using arterial coiling.

Conclusions:

  • Vascular complications, though rare, can occur after ACL reconstruction.
  • Prompt diagnosis via angiography and endovascular intervention are crucial for managing such cases.
  • This case underscores the importance of considering uncommon vascular injuries in post-operative knee patients.