Delayed compartment syndrome of leg and foot due to rupture of popliteal artery pseudoaneurysm following posterior cruciate ligament reconstruction

Ahmad Shahrulazua, Mahidon Rafedon, Mohd Nasir Mohd Nizlan, James Anthony Sullivan

    Research output: Contribution to journalArticle

    Abstract

    Arthroscopic posterior cruciate ligament (PCL) reconstruction carries some risk of complications, including injury to the neurovascular structures at the popliteal region. We describe a delayed presentation of the right leg and foot compartment syndrome following rupture of popliteal artery pseudoaneurysm, which presented 9 days after an arthroscopic transtibial PCL reconstructive surgery. Fasciotomy, surgical exploration, repair of an injured popliteal vein and revascularisation of the popliteal artery with autogenous great saphenous vein interposition graft were performed. Owing to the close proximity of vessels to the tibial tunnel, special care should be taken in patients who undergo arthroscopic PCL reconstruction, especially if there is extensive scarring of the posterior capsule following previous injury. Emergency fasciotomy should not be delayed and is justified when the diagnosis of compartment syndrome is clinically made.

    Original languageEnglish
    JournalBMJ Case Reports
    DOIs
    Publication statusPublished - 23 Jan 2014

    Fingerprint

    Compartment Syndromes
    Popliteal Artery
    False Aneurysm
    Foot
    Rupture
    Leg
    Reconstructive Surgical Procedures
    Popliteal Vein
    Posterior Cruciate Ligament
    Saphenous Vein
    Wounds and Injuries
    Capsules
    Cicatrix
    Emergencies
    Transplants
    Fasciotomy
    Posterior Cruciate Ligament Reconstruction

    ASJC Scopus subject areas

    • Medicine(all)

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    Delayed compartment syndrome of leg and foot due to rupture of popliteal artery pseudoaneurysm following posterior cruciate ligament reconstruction. / Shahrulazua, Ahmad; Rafedon, Mahidon; Mohd Nizlan, Mohd Nasir; Sullivan, James Anthony.

    In: BMJ Case Reports, 23.01.2014.

    Research output: Contribution to journalArticle

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