关键词: Anterior cruciate ligament reconstruction Autologous nerve grafting Peripheral nerve injury Popliteal pseudoaneurysm Postoperative complication Tibial nerve lesion

来  源:   DOI:10.25259/SNI_570_2023   PDF(Pubmed)

Abstract:
UNASSIGNED: Complications following arthroscopic anterior cruciate ligament reconstruction (ACLR) are rare, but injuries to the popliteal artery can occur. Popliteal pseudoaneurysms are a potential complication and can cause significant morbidity if not diagnosed and treated promptly.
UNASSIGNED: We describe the cases of two patients who developed nerve injuries following arthroscopic ACLR, with subsequent diagnosis of a popliteal pseudoaneurysm. The peroneal nerve recovered spontaneously in both cases, while the tibial nerve was reconstructed using autologous nerve grafting. Satisfying, functional recoveries were observed 24 months postoperatively.
UNASSIGNED: Prompt diagnosis and effective treatment of popliteal pseudoaneurysms are crucial to prevent further complications. However, timely diagnosis can be challenging due to inconsistent clinical presentations and a low index of suspicion. This case report highlights the need for increased awareness of this uncommon complication and provides insights into its pathophysiological mechanisms.
摘要:
关节镜前交叉韧带重建术(ACLR)后的并发症很少见,但是有可能会损伤the动脉.静脉假性动脉瘤是一种潜在的并发症,如果不及时诊断和治疗,可能会导致严重的发病率。
我们描述了两名患者在关节镜ACLR后出现神经损伤的情况,随后诊断为pop动脉假性动脉瘤。两种情况下腓骨神经都能自发恢复,使用自体神经移植重建胫神经。满意,术后24个月观察功能恢复.
迅速诊断和有效治疗pop动脉假性动脉瘤对于防止进一步的并发症至关重要。然而,由于临床表现不一致和怀疑指数低,及时诊断可能具有挑战性.本病例报告强调需要提高对这种罕见并发症的认识,并提供对其病理生理机制的见解。
公众号