Popliteal Artery Complications of Total Knee Replacement – Our Experience In Large Volume Centre and Review of Literature
Total Knee replacement is one of the successful operations performed for arthritis of knee joint. Popliteal artery occlusion after total knee arthroplasty occurs at a very low incidence. We here describe the incidence of popliteal artery complications in one of the large volume centre in Asia. Our case had complete occlusion of the popliteal artery at the 1st post-operative day. Our reported case of post-TKR popliteal artery thrombosis was without known risk factors. Reason for concern is because of poor collateral circulation, severe ischemia may give rise to irreversible tissue damage necessitating amputation if we do not recognize early and treat them. We reviewed cases from the literature in terms of incidence, prognosis, treatment, potential risk factors and measures to prevent injury.
Turner, N. S., M. W. Pagnano, and F. H. Sim. 2001. Total knee arthroplasty after ipsilateral peripheral arterial bypass graft - acute arterial occlusion is a risk with or without tourniquet use. J. Arthroplasty 16:317–321.
1. Rand JA. Vascular complications of total knee arthroplasty. Report of three cases. J Arthroplasty 1987;2:89.
Calligaro KD, deLaurentis DA, Booth RE, et al. Acute arterial thrombosis associated with total knee arthroplasty. J Vasc Surg 1994;20:927.
Langkamer VG. Local vascular complications after knee replacement: a review with illustrative case reports. Knee 2001;8:259.
Holmberg A, Milbrink J, Bergqvist D. Arterial complications after knee arthroplasty: 4 cases and a review of the literature. Acta Orthop Scand 1996;67:75.
G. Matziolis, C. Perka, and K. Labs, “Acute arterial occlusion after total knee arthroplasty,” Archives of Orthopaedic and Trauma Surgery, vol. 124, no. 2, pp. 134–136, 2004.
Y. Sedghi, T. J. Collins, and C. J.White, “Endovascular management of acute limb ischemia,” Vascular Medicine, vol. 18, no. 5, pp. 307–313, 2013.
Smith DE, McGraw RW, Taylor DC, et al. Arterial complications and total knee arthroplasty. J Am Acad Orthop Surg 2001;9:253.
Ninomiya, J. T., J. C. Dean, and V. M. Goldberg. 1999. Injury to the popliteal artery and its anatomic location in total knee arthroplasty. J. Arthroplasty 14:803–809.
Tindall, A. J., A. A. Shetty, K. D. James, A. Middleton, and K. W. Fernando. 2006. Prevalence and surgical significance of a high-origin anterior tibial artery. J. Orthop. Surg. (Hong Kong). 14:13–16.
Farrington, W. J., and G. J. Charnley. 2003. The effect of knee flexion on the popliteal artery and its surgical significance. J. Bone Joint Surg. Br. 85:1208;
Krackow K. Surgical procedure: the technique of total knee arthroplasty. St.Louis: C.V. Mosby; 1990.
Abularrage CJ, Weiswasser JM, DeZee KJ, Slidell MB, Henderson WG, Sidawy AN. Predictors of lower extremity arterial injury after total knee or total hip arthroplasty. J Vasc Surg 2008;47:803e8.
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