Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty
Acute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/672164 |
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| author | Ryu Tsujimoto Tomoyuki Matsumoto Koji Takayama Yohei Kawakami Masato Kamimura Takehiko Matsushita Ryosuke Kuroda Masahiro Kurosaka |
| author_facet | Ryu Tsujimoto Tomoyuki Matsumoto Koji Takayama Yohei Kawakami Masato Kamimura Takehiko Matsushita Ryosuke Kuroda Masahiro Kurosaka |
| author_sort | Ryu Tsujimoto |
| collection | DOAJ |
| description | Acute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second revision TKA in a patient with a history of several surgical procedures because of periprosthetic infection at a previous hospital. Revascularization was achieved via bypass grafting and amputation was narrowly avoided despite time lag after symptom onset to revascularization. In this case, it was possible that the arterial disease that accompanied the vascular endothelium injury such as pseudoaneurysm had existed since the previous surgery at another hospital and was destroyed by the surgical procedure, which led to the formation of thrombosis and arterial occlusion. Preoperative evaluation of the arterial condition should be considered to avoid acute arterial occlusive disease, especially in patients who had several previous surgical procedures. |
| format | Article |
| id | doaj-art-f4fdc6d19ab647c180f1b678fbb1942b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-f4fdc6d19ab647c180f1b678fbb1942b2025-02-03T01:30:54ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/672164672164Acute Popliteal Artery Occlusion after Revision Total Knee ArthroplastyRyu Tsujimoto0Tomoyuki Matsumoto1Koji Takayama2Yohei Kawakami3Masato Kamimura4Takehiko Matsushita5Ryosuke Kuroda6Masahiro Kurosaka7Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 28110, JapanAcute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second revision TKA in a patient with a history of several surgical procedures because of periprosthetic infection at a previous hospital. Revascularization was achieved via bypass grafting and amputation was narrowly avoided despite time lag after symptom onset to revascularization. In this case, it was possible that the arterial disease that accompanied the vascular endothelium injury such as pseudoaneurysm had existed since the previous surgery at another hospital and was destroyed by the surgical procedure, which led to the formation of thrombosis and arterial occlusion. Preoperative evaluation of the arterial condition should be considered to avoid acute arterial occlusive disease, especially in patients who had several previous surgical procedures.http://dx.doi.org/10.1155/2015/672164 |
| spellingShingle | Ryu Tsujimoto Tomoyuki Matsumoto Koji Takayama Yohei Kawakami Masato Kamimura Takehiko Matsushita Ryosuke Kuroda Masahiro Kurosaka Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty Case Reports in Orthopedics |
| title | Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty |
| title_full | Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty |
| title_fullStr | Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty |
| title_full_unstemmed | Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty |
| title_short | Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty |
| title_sort | acute popliteal artery occlusion after revision total knee arthroplasty |
| url | http://dx.doi.org/10.1155/2015/672164 |
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