Endoscopic anterior cruciate ligament reconstruction: complication of graft rupture and a method of salvage.

The following case report highlights the complications of endoscopic anterior cruciate ligament reconstruction. One such complication involving autograft rupture in placement of the femoral screw is described. A method of salvage using the existing autograft is elucidated by converting to a two-incision technique. Furthermore, the case report demonstrates a soft-tissue suturing technique described by Krackow that enabled salvaging the previously harvested autograft and securing over a ligament button. Second-look arthroscopy at 8 months after the combined medial meniscus repair and ACL reconstruction confirmed healing. At follow-up 3 years after surgery, the result was excellent using both the Lysholm and IKDC scoring system.