Anterior cruciate ligament reconstruction complications (overview)
Citation, DOI, disclosures and article data
Citation:
Knipe H, Elfeky M, Alsmair A, et al. Anterior cruciate ligament reconstruction complications (overview). Reference article, Radiopaedia.org (Accessed on 07 Dec 2024) https://doi.org/10.53347/rID-72408
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rID:
72408
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Disclosures:
At the time the article was created Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Mostafa Elfeky had no financial relationships to ineligible companies to disclose.
View Mostafa Elfeky's current disclosures
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4 contributors -
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Systems:
Tags:
Synonyms:
- 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
- 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
- iliotibial band syndrome
- donor tendon complications, e.g. rupture, shortening
- vascular complications: inferior geniculate artery pseudoaneurysms have been reported at donor tendon sites
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
Incoming Links
Articles:
- 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
Cases:
- 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
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