Dealing with complications in ACL reconstruction

Abstract

Complications are not uncommon during anterior cruciate ligament (ACL) reconstruction, but most can be managed without compromising the final outcome. Complications during graft harvest are patellar fracture, premature transection of hamstring tendons, saphenous nerve injury, and graft contamination. Improper placement of tunnels is the most frequent problem that may lead to limitation of motion or early graft failure. Cartilage damage to the medial femoral condyle and posterior cortical blowout may occur during drilling of the tunnels. Early or late fractures of the tibia or femur may arise from the tunnel sites. Neurovascular injuries and infections are rare but may lead to catastrophic failure. The incidence of deep vein thrombosis (DVT) varies with the diagnostic method and indications for prophylaxis and duration of treatment are still controversial.