Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction

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...

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Main Authors: Mathijs C. H. W. Fuchs, Martijn Dietvorst, Roel Vaes, Maarten Loos, Matthijs P. Somford, Rob P. A. Janssen
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/1034018
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author Mathijs C. H. W. Fuchs
Martijn Dietvorst
Roel Vaes
Maarten Loos
Matthijs P. Somford
Rob P. A. Janssen
author_facet Mathijs C. H. W. Fuchs
Martijn Dietvorst
Roel Vaes
Maarten Loos
Matthijs P. Somford
Rob P. A. Janssen
author_sort Mathijs C. H. W. Fuchs
collection DOAJ
description 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.
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institution OA Journals
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publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-ba32883ef8a04ef8a41fd44d058254652025-08-20T02:19:25ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/10340181034018Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament ReconstructionMathijs C. H. W. Fuchs0Martijn Dietvorst1Roel Vaes2Maarten Loos3Matthijs P. Somford4Rob P. A. Janssen5Department of Orthopaedic Surgery and Traumatology, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, NetherlandsDepartment of Orthopaedic Surgery and Traumatology, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, NetherlandsDepartment of Vascular Surgery, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, NetherlandsDepartment of Vascular Surgery, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, NetherlandsDepartment of Orthopaedic Surgery and Traumatology, Rijnstate Hospital, Postbus 9555, 6800 TA Arnhem, NetherlandsDepartment of Orthopaedic Surgery and Traumatology, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, NetherlandsWe 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.http://dx.doi.org/10.1155/2017/1034018
spellingShingle Mathijs C. H. W. Fuchs
Martijn Dietvorst
Roel Vaes
Maarten Loos
Matthijs P. Somford
Rob P. A. Janssen
Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction
Case Reports in Orthopedics
title Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction
title_full Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction
title_fullStr Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction
title_full_unstemmed Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction
title_short Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction
title_sort arteriovenous fistula after anatomic all inside anterior cruciate ligament reconstruction
url http://dx.doi.org/10.1155/2017/1034018
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