Acute compartment syndrome of the leg following peroneus longus tendon graft harvesting: a case report.

Acute compartment syndrome is a rare donor-site complication of peroneus longus tendon graft harvesting. A case of leg compartment syndrome following peroneus longus tendon harvest for a revision anterior cruciate ligament reconstruction is described. Symptoms began on the first day after surgery, including intense pain in the lateral aspect of the leg and dorsum of the foot and motor and sensory deficits of the common peroneal nerve. Emergency decompressive fasciotomy was necessary. The patient presented a complete resolution of symptoms and neurological deficit 24 days after surgery. Surgeons harvesting this graft should keep in mind the possibility of this complication in case of unusual pain in the early postoperative period so that they can quickly diagnose and treat this threatening condition.