Complications of ACL Reconstruction

Iftach Hetsroni*, Niv Marom, Noam Reshef

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


ACL reconstruction is a reproducible procedure but complications may occur and are estimated between 1 and 5%. The most serious complications include infection (between 0.32 to 1.8%), thromboembolic disease (0.6%), and arthrofibrosis which may be related to early surgery in the acutely inflamed knee although exact pathomechanism and risk factors are not completely understood. Other complications include postoperative hemarthrosis, sensory loss related to lesions to branches of the Saphenous nerve, hamstrings and quadriceps mechanism weakness and dysfunction, patellar fracture when using bone plugs from the patella, hardware failure, tunnel widening, and graft rupture. This chapter will review each of these complications and also provide measures for correct diagnosis and management.

Original languageEnglish
Title of host publicationAdvances in Knee Ligament and Knee Preservation Surgery
PublisherSpringer International Publishing
Number of pages12
ISBN (Electronic)9783030847487
ISBN (Print)9783030847470
StatePublished - 1 Jan 2021


  • ACL reconstruction
  • Arthrofibrosis
  • Complication
  • Graft rupture
  • Hamstrings weakness
  • Hardware failure
  • Infection
  • Quadriceps weakness
  • Thromboembolic disease
  • Tunnel widening


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