{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T10:31:39Z","timestamp":1789813899631,"version":"4.0.1"},"reference-count":24,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Complications following arthroscopic anterior cruciate ligament reconstruction (ACLR) are rare, but injuries to the popliteal artery can occur. Popliteal pseudoaneurysms are a potential complication and can cause significant morbidity if not diagnosed and treated promptly.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Cases Description: <\/jats:title>\n<jats:p>We describe the cases of two patients who developed nerve injuries following arthroscopic ACLR, with subsequent diagnosis of a popliteal pseudoaneurysm. The peroneal nerve recovered spontaneously in both cases, while the tibial nerve was reconstructed using autologous nerve grafting. Satisfying, functional recoveries were observed 24 months postoperatively.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Prompt diagnosis and effective treatment of popliteal pseudoaneurysms are crucial to prevent further complications. However, timely diagnosis can be challenging due to inconsistent clinical presentations and a low index of suspicion. This case report highlights the need for increased awareness of this uncommon complication and provides insights into its pathophysiological mechanisms.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_570_2023","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T09:57:16Z","timestamp":1701424636000},"page":"409","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Complete tibial nerve lesion secondary to postoperative popliteal pseudoaneurysm following anterior cruciate ligament arthroscopic reconstruction: A series of two patients"],"prefix":"10.25259","volume":"14","author":[{"given":"Luana Caroline Miantti Ghellere","family":"Bonfim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias E.","family":"Sporer","sequence":"additional","affiliation":[{"name":"Clinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Poeta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Rezende R.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayme A.","family":"Bertelli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,12,1]]},"reference":[{"key":"10.25259\/SNI_570_2023\/ref-1","doi-asserted-by":"crossref","first-page":"24441","DOI":"10.52965\/001c.24441","article-title":"Nerve lesions during arthroscopic procedure: A literature overview","volume":"13","author":"Amadei","year":"2021","journal-title":"Orthop Rev (Pavia)"},{"key":"10.25259\/SNI_570_2023\/ref-2","doi-asserted-by":"crossref","first-page":"2004","DOI":"10.1016\/j.arth.2016.02.041","article-title":"Popliteal artery pseudoaneurysm after total knee arthroplasty","volume":"31","author":"Ammori","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.25259\/SNI_570_2023\/ref-3","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1055\/s-0037-1603674","article-title":"Transient common peroneal and tibial nerve palsy following knee arthroscopy for the treatment of discoid lateral meniscus","volume":"5","author":"Bernardi","year":"2017","journal-title":"Joints"},{"key":"10.25259\/SNI_570_2023\/ref-4","first-page":"253","article-title":"Committee on Complications of the Arthroscopy Association of North America","volume":"2","author":"Complications in arthroscopy: The knee and other joints","year":"1986","journal-title":"Arthroscopy"},{"key":"10.25259\/SNI_570_2023\/ref-5","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/S0749-8063(85)80086-4","article-title":"Complications of arthroscopy and arthroscopic surgery: Results of a national survey","volume":"1","author":"De Lee","year":"1985","journal-title":"Arthroscopy"},{"key":"10.25259\/SNI_570_2023\/ref-6","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1097\/00006123-199904000-00077","article-title":"Evaluation and surgical management of peripheral nerve problems","volume":"44","author":"Grant","year":"1999","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_570_2023\/ref-7","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.knee.2010.11.011","article-title":"Complications following anterior cruciate ligament reconstruction in the English NHS","volume":"19","author":"Jameson","year":"2012","journal-title":"Knee"},{"key":"10.25259\/SNI_570_2023\/ref-8","doi-asserted-by":"crossref","first-page":"604","DOI":"10.5312\/wjo.v7.i9.604","article-title":"Arterial complications, venous thromboembolism and deep venous thrombosis prophylaxis after anterior cruciate ligament reconstruction: A systematic review","volume":"7","author":"Janssen","year":"2016","journal-title":"World J Orthop"},{"key":"10.25259\/SNI_570_2023\/ref-9","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1007\/s00167-007-0363-3","article-title":"Embolism of the popliteal artery after anterior cruciate ligament reconstruction: A case report and literature review","volume":"15","author":"Janssen","year":"2007","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.25259\/SNI_570_2023\/ref-10","doi-asserted-by":"crossref","first-page":"E4","DOI":"10.1016\/j.arthro.2003.11.025","article-title":"Pseudoaneurysm of the popliteal artery after anterior cruciate ligament reconstruction with bicortical tibial screw fixation","volume":"20","author":"Janssen","year":"2004","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"key":"10.25259\/SNI_570_2023\/ref-11","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0749-8063(99)70012-5","article-title":"Common peroneal nerve palsy following knee arthroscopy","volume":"15","author":"Johnson","year":"1999","journal-title":"Arthroscopy"},{"key":"10.25259\/SNI_570_2023\/ref-12","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1227\/01.NEU.0000089059.01853.47","article-title":"Surgical management and results of 135 tibial nerve lesions at the Louisiana State University Health Sciences Center","volume":"53","author":"Kim","year":"2003","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_570_2023\/ref-13","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1177\/03635465020300042501","article-title":"Neurovascular complications of knee arthroscopy","volume":"30","author":"Kim","year":"2017","journal-title":"Am J Sports Med"},{"key":"10.25259\/SNI_570_2023\/ref-14","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.arthro.2003.09.011","article-title":"Lesion of the common peroneal nerve during arthroscopy","volume":"19","author":"Krivi\u0107","year":"2003","journal-title":"Arthroscopy"},{"key":"10.25259\/SNI_570_2023\/ref-15","first-page":"64","article-title":"Nerve injury and repair","author":"Lundborg","year":"1988"},{"key":"10.25259\/SNI_570_2023\/ref-16","doi-asserted-by":"crossref","first-page":"2321","DOI":"10.2106\/JBJS.H.00539","article-title":"Epidemiology of anterior cruciate ligament reconstruction: Trends, readmissions, and subsequent knee surgery","volume":"91","author":"Lyman","year":"2009","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_570_2023\/ref-17","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1053\/ejvs.1999.0904","article-title":"Pseudo-aneurysm of a geniculate collateral artery complicating total knee replacement","volume":"18","author":"Noorpuri","year":"1999","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.25259\/SNI_570_2023\/ref-18","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S0749-8063(98)70045-3","article-title":"Transsection of the peroneal nerve complicating knee arthroscopy: Case report and cadaver study","volume":"14","author":"Peicha","year":"1998","journal-title":"Arthroscopy"},{"key":"10.25259\/SNI_570_2023\/ref-19","doi-asserted-by":"crossref","first-page":"19","DOI":"10.20517\/2347-9264.2021.126","article-title":"Functional reconstruction of lower extremity nerve injuries","volume":"9","author":"Qiu","year":"2022","journal-title":"Plast Aesthetic Res"},{"key":"10.25259\/SNI_570_2023\/ref-20","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.2106\/00004623-199308000-00012","article-title":"Deep peroneal-nerve injury as a result of arthroscopic meniscectomy. A case report and review of the literature","volume":"75","author":"Rodeo","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_570_2023\/ref-21","doi-asserted-by":"crossref","first-page":"765","DOI":"10.3171\/JNS-07\/10\/0765","article-title":"Peripheral nerve lesions associated with missile-induced pseudoaneurysms","volume":"107","author":"Roganovi\u0107","year":"2007","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_570_2023\/ref-22","doi-asserted-by":"crossref","first-page":"985","DOI":"10.3928\/0147-7447-19930901-08","article-title":"Complications in arthroscopic surgery of the knee and shoulder","volume":"16","author":"Small","year":"1993","journal-title":"Orthopedics"},{"key":"10.25259\/SNI_570_2023\/ref-23","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1148\/radiology.218.1.r01ja13188","article-title":"Focal arterial injuries of the proximal extremities: Helical CT arteriography as the initial method of diagnosis","volume":"218","author":"Soto","year":"2001","journal-title":"Radiology"},{"key":"10.25259\/SNI_570_2023\/ref-24","first-page":"182","article-title":"Iatrogenic transection of the peroneal and partial transection of the tibial nerve during arthroscopic lateral meniscal debridement and removal of osteochondral fragment","volume":"43","author":"Wendt","year":"2014","journal-title":"Am J Orthop (Belle Mead NJ)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/complete-tibial-nerve-lesion-secondary-to-postoperative-popliteal-pseudoaneurysm-following-anterior-cruciate-ligament-arthroscopic-reconstruction-a-series-of-two-patients\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/complete-tibial-nerve-lesion-secondary-to-postoperative-popliteal-pseudoaneurysm-following-anterior-cruciate-ligament-arthroscopic-reconstruction-a-series-of-two-patients\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T09:57:26Z","timestamp":1701424646000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/complete-tibial-nerve-lesion-secondary-to-postoperative-popliteal-pseudoaneurysm-following-anterior-cruciate-ligament-arthroscopic-reconstruction-a-series-of-two-patients\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":24,"alternative-id":["10.25259\/SNI_570_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_570_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,1]]},"article-number":"409"}}