Delayed recurrent hemarthrosis after staple fixation of tibial avulsion fracture of the posterior cruciate ligament: a case report

Knee Surg Sports Traumatol Arthrosc. 2006 Sep;14(9):854-8. doi: 10.1007/s00167-006-0065-2. Epub 2006 Mar 14.

Abstract

This study reports a case of unusual vascular complication related to the staple fixation for the tibial avulsion fracture of the posterior cruciate ligament (PCL). The patient, who experienced recurrent hemarthrosis 12 months after staple fixation for the avulsion fracture of the PCL, was successfully managed by removing the staple and suturing the bleeding focus of the popliteal artery. Injury to the popliteal artery by the prominent staples could be the culprit causing the recurrent hemarthrosis. This type of delayed popliteal artery injury should be kept in mind in open reduction and internal fixation for the tibial avulsion fracture of the PCL.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Fracture Fixation, Internal / adverse effects*
  • Fracture Fixation, Internal / methods
  • Hemarthrosis / etiology*
  • Hemarthrosis / surgery
  • Humans
  • Popliteal Artery / injuries
  • Popliteal Artery / surgery
  • Posterior Cruciate Ligament / injuries*
  • Posterior Cruciate Ligament / surgery*
  • Recurrence
  • Surgical Staplers
  • Tibial Fractures / surgery*
  • Time Factors