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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
|January 7, 2021
PubMed
Summary
This summary is machine-generated.

Anterior cruciate ligament (ACL) reconstruction is common, but rare vascular complications can occur. This case study details a patient who developed calf bleeding after ACL surgery, successfully treated with angiography and coiling.

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Last Updated: Nov 22, 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 procedure.
  • While generally safe, complications occur in 3-7% of cases, with severe events less than 1%.
  • Vascular complications are exceptionally rare, typically reported in case studies.

Purpose of the Study:

  • To report a rare case of vascular complication after ACL reconstruction.
  • To highlight the diagnostic and therapeutic approach for arterial bleeding into the medial gastrocnemius muscle.

Main Methods:

  • Patient presented with calf hematoma and pain post-ACL reconstruction.
  • Diagnostic angiography was performed to identify the bleeding source.
  • Arterial embolization (coiling) was used to treat the hemorrhage.

Main Results:

  • Bleeding into the medial gastrocnemius muscle was identified as the cause.
  • Coiling successfully occluded the bleeding artery.
  • Other potential complications like deep vein thrombosis and compartment syndrome were excluded.

Conclusions:

  • Vascular complications, though rare, should be considered in patients with acute calf symptoms post-ACL surgery.
  • Angiography and endovascular embolization are effective in managing such rare vascular injuries.