Simultaneous traumatic pseudoaneurysm and thrombosis of the popliteal artery after anterior cruciate ligament reconstruction

Arterial complications after anterior cruciate ligament (ACL) reconstruction are rare. We present a case report of a 50 year old female patient with simultaneous pseudoaneurysm and thrombosis of the popliteal artery after anterior cruciate ligament reconstruction. The arterial thrombosis was caused by the drill for tibial bicortical fixation. The pseudoaneurysm had no relation to either the femoral or tibial fixation of the hamstring graft, nor was there any hematoma surrounding it. Surgical repair of both vascular lesions was performed 9 days after ACL reconstruction. There has been no previous report of this combination of vascular injury after anterior cruciate reconstruction.