Anterior cruciate ligament reconstruction complications (overview)
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At the time the article was created Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosuresAt the time the article was last revised Tariq Walizai had no financial relationships to ineligible companies to disclose.
View Tariq Walizai's current disclosures- ACL graft complications
- ACL repair complications
- Anterior cruciate ligament graft complications
- ACL reconstruction complications
Anterior cruciate ligament (ACL) reconstruction complications are common, occurring in 10-25% of patients.
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Clinical presentation
Patients with complications of ACL reconstruction can present with decreased range of motion (impingement or arthrofibrosis) and/or laxity (graft rupture or stretching) 2.
Pathology
Complications include 1-3:
-
decreased range of motion
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post-operative laxity: occurs in 1-8% of patients 3
-
miscellaneous
fixation material complication, e.g. migration, displacement, fragmentation
inflammatory reaction / rejection
tunnel osteolysis defined as tunnel widening >14 mm: may require two-stage revision ACL reconstruction 5
septic arthritis: ~0.5% (range 0.1-0.9%)
retractile capsulitis
donor tendon complications, e.g. rupture, shortening
vascular complications: inferior geniculate artery pseudoaneurysms have been reported at donor tendon sites
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See also
References
- 1. Kulczycka P, Larbi A, Malghem J, Thienpont E, Vande Berg B, Lecouvet F. Imaging ACL reconstructions and their complications. (2015) Diagnostic and interventional imaging. 96 (1): 11-9. doi:10.1016/j.diii.2014.04.007 - Pubmed
- 2. Arthur B. Meyers, Andrew H. Haims, Kirsten Menn, Hicham Moukaddam. Imaging of Anterior Cruciate Ligament Repair and Its Complications. (2012) American Journal of Roentgenology. 194 (2): 476-84. doi:10.2214/AJR.09.3200 - Pubmed
- 3. Jenny T. Bencardino, Javier Beltran, Marina I. Feldman, Donald J. Rose. MR Imaging of Complications of Anterior Cruciate Ligament Graft Reconstruction1. (2009) RadioGraphics. 29 (7): 2115-26. doi:10.1148/rg.297095036 - Pubmed
- 4. Kim M, Choi YS, Kim H, Choi NH. Postoperative Evaluation after Anterior Cruciate Ligament Reconstruction: Measurements and Abnormalities on Radiographic and CT Imaging. (2016) Korean journal of radiology. 17 (6): 919-930. doi:10.3348/kjr.2016.17.6.919 - Pubmed
- 5. Laidlaw M, Buyukdogan K, Werner B, Miller M. Management of Bone Deficiency in Revision Anterior Cruciate Ligament Reconstruction. Ann Joint. 2017;2(6):38. doi:10.21037/aoj.2017.06.12
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- MRI of the knee (an approach)
- Arthrofibrosis
- Middle genicular artery
- Anterior cruciate ligament graft impingement
- Anterior cruciate ligament reconstruction
- Ramp lesion (meniscus)
- Anterior cruciate ligament graft tear
- Anterior cruciate ligament graft stretching
- Cyclops lesion (knee)
- Tibial tunnel cyst
- Anterior cruciate ligament graft roof impingement
- ACL graft tear due to tunnel malpositioning
- ACL and PCL reconstruction
- ACL reconstruction knee radiograph
- Anterior cruciate ligament graft stretching
- Anterior cruciate ligament reconstruction - tibial tunnel infection
- ACL graft partial tear with semimembranosus bursitis
- ACL reconstruction graft fraying
- Anterior cruciate ligament graft tear
- Migration of bone graft post-ACL repair
- Tibial tunnel and pretibial cysts - anterior cruciate ligament reconstruction
- Cyclops lesion
- Anterior position of ACL reconstruction tunnels
- Knee arthrofbrosis
- Femoral tunnel cyst after ACL graft reconstruction
- Anterior cruciate ligament graft tear with bucket handle tear of medial meniscus
Related articles: Knee pathology
The knee is a complex synovial joint that can be affected by a range of pathologies:
- bone and cartilage
-
knee fractures
- distal femoral condyle fracture
- tibial plateau fracture (classification)
- patella fracture
-
avulsion fractures of the knee
- arcuate complex avulsion fracture (arcuate sign)
- anterior cruciate ligament avulsion fracture
- biceps femoris avulsion fracture
- iliotibial band avulsion fracture
- quadriceps tendon avulsion fracture
- patellar sleeve fracture
- posterior cruciate ligament avulsion fracture
- reverse Segond fracture
- Segond fracture
- semimembranosus tendon avulsion fracture
- Stieda fracture chronic avulsion injuries
- dislocation
- chondromalacia patellae
- osteoarthritis of the knee
- osteochondral
- patterns of bone bruise in knee injury
-
knee fractures
- ligaments
- anterior cruciate ligament tear
- anterior cruciate ligament ganglion cyst
- anterior cruciate ligament mucoid degeneration
- posterior cruciate ligament tear
- medial collateral ligament tear
- lateral collateral ligament tear
- medial patellofemoral ligament tear
- posterolateral corner injury
- posteromedial corner injury
- tendons
- meniscal lesions
- bursosynovial lesions
- fat pad
- popliteal fossa
- fascia
- alignment
- knee
- patellofemoral
- gamut