Anterior cruciate ligament reconstruction with short hamstring grafts: the choice of femoral fixation device matters in controlling overall lengthening

2021 ◽  
Author(s):  
Romain Pacull ◽  
Etienne Kalk ◽  
Frédéric Rongieras ◽  
Antoine Bertani ◽  
Laure-Lise Gras
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Fixation Device ◽  
Femoral Fixation ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate ◽  
Hamstring Grafts

scholarly journals Uncommon Complications after Anterior Cruciate Ligament Reconstruction

Joints ◽  
2018 ◽  
Vol 06 (03) ◽  
pp. 188-203 ◽  
Author(s):  
Anna Palazzolo ◽  
Federica Rosso ◽  
Davide Bonasia ◽  
Francesco Saccia ◽  
Roberto Rossi ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Case Reports ◽  
Cruciate Ligament ◽  
Saphenous Nerve ◽  
Fixation Device ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate ◽  
Bone Tunnels

AbstractAnterior cruciate ligament reconstruction (ACL-R) is a common surgical procedure, with good outcome in 75 to 97% of the cases. However, different complications have been described including infection, hemarthrosis, deep vein thrombosis (DVT), and pulmonary embolism (PE) with a rate ranging from 1 to 15%. There are few case reports in the literature describing rare complications after ACL-R and they can be divided into: (1) complications related to the fixation device (rupture, migration); (2) fractures (tibial or femoral side); (3) infections due to uncommon bacteria, mycobacterium, and mycosis; (4) rare vascular injuries; (5) nerve injuries; and (6) other rare complications. In case of fixation device rupture or migration, device removal can be easy but the diagnosis may be challenging. Patellar fracture after ACL-R may be related to harvesting and it is not uncommon. Conversely, femoral or tibial fractures are most frequently due to bone weakness related to bone tunnels. Some rare infections related to uncommon bacteria or mycosis are also described with potentially devastating joint damage. Popliteal artery injuries are uncommon in ACL-R but minor vessels damages are described with possible severe consequences for patients. Injuries to the infrapatellar branch of the saphenous nerve are not uncommon in ACL-R. However, there are few case reports also describing injuries to the saphenous nerve, the common peroneal nerve and the sciatic nerve. The aim of this paper is to review the literature describing uncommon complications after ACL-R, giving some more information about diagnosis and treatment.

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