Popliteal artery damage during total knee arthroplasty

Abstract Injury of popliteal artery during total knee arthroplasty is a relatively rare complication. We report on one case of transverse semi-dissection of the popliteal artery during the tibial cut and one case of popliteal pseudoaneurysm formation caused by Hohmann retractors. Diagnosis was made...

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Bibliographic Details
Published in:Arthroplasty today 2015-09, Vol.1 (3), p.53-57
Main Authors: Papadopoulos, Dimitrios V., MD, MS, Koulouvaris, Panagiotis, MD, PhD, Lykissas, Marios G., MD, PhD, Giannoulis, Dionysios, MD, MS, Georgios, Aggelidakis, MD, Mavrodontidis, Alexandros, MD, PhD
Format: Article
Language:English
Subjects:
Case Report
Complications
Orthopedics
Popliteal artery tear
Pseudoaneurysm
Total knee arthroplasty
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Summary:Abstract Injury of popliteal artery during total knee arthroplasty is a relatively rare complication. We report on one case of transverse semi-dissection of the popliteal artery during the tibial cut and one case of popliteal pseudoaneurysm formation caused by Hohmann retractors. Diagnosis was made early in the first case but it was delayed in the second due to misdiagnosis of deep vein thrombosis. Both injuries were managed eventually by open surgery. Postoperative clinical examination and ultrasound imaging confirmed the successful restoration of the blood flow. This case report also describes the classification system of the type of vascular damage and describes the mechanism, the clinical presentation, diagnostic modalities and treatment options for these rare complications of total knee arthroplasty surgery.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2015.06.001