Traumatic arteriovenous fistula formation after misplaced femoral tunnel in arthroscopic anterior cruciate ligament reconstruction.

Vascular injuries are rare complications of arthroscopic anterior cruciate ligament (ACL) reconstruction. In this report, we present a 50-year-old female who has a popliteal arteriovenous fistula formation diagnosed 18 months after arthroscopic ACL reconstruction. The diagnosis was confirmed by angiography. The patient was treated surgically with disconnection of the fistulous communication and repair of the artery and vein with saphenous vein and synthetic grafts respectively. This is the first case report of an arteriovenous fistula following arthroscopic ACL reconstruction.