Abstract:
A female underwent arthroscopic anterior cruciate ligament reconstruction (ACLR) via an outside-in drilling technique. At 4 weeks after surgery, she presented with a pulsatile painful mass on the lateral femoral condyle. Imaging confirmed a superolateral genicular artery pseudoaneurysm. Thrombin injections were administered twice, resulting in reduced size and minimal pain. This case emphasises the rare occurrence of pseudoaneurysms post-ACLR and highlights the importance of early detection and intervention for vascular complications. Although debated, we suggest tourniquet deflation before closure to facilitate identification and management of vascular issues. This report contributes valuable insights into managing pseudoaneurysms following ACLR.
摘要:
一名女性通过外向内钻孔技术接受了关节镜前交叉韧带重建(ACLR)。手术后4周,她在股骨外侧髁上出现搏动性疼痛性肿块。影像学检查证实膝上外侧动脉假性动脉瘤。凝血酶注射给药两次,导致减小的大小和最小的疼痛。该病例强调了ACLR后假性动脉瘤的罕见发生,并强调了早期发现和干预血管并发症的重要性。尽管有争议,我们建议在关闭前对止血带放气,以方便识别和处理血管问题。本报告为ACLR后假性动脉瘤的管理提供了宝贵的见解。