Popliteal aneurysm after total knee arthroplasty

Hozack, William J.; Cole, Peter A.; Gardner, Ronald D.; Corces, Arturo

doi:10.1016/s0883-5403(08)80087-3

Cited by 61 publications

(18 citation statements)

References 13 publications

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“…In addition, the use of tourniquets and subsequent pressure on preexisting atheromatous plaques are associated with arterial ischemic complications after TKA [6, 13, 14]. The use of tourniquets during TKA is controversial.…”

Section: Discussionmentioning

confidence: 99%

“…The use of tourniquets during TKA is controversial. Most arterial complications after TKA are associated with tourniquet use, especially in previously pathological arteries [2, 4, 6, 19]. As a result, some authors have recommended that TKA should be performed without tourniquets in patients who are at risk [5, 6].…”

Section: Discussionmentioning

confidence: 99%

“…Most arterial complications after TKA are associated with tourniquet use, especially in previously pathological arteries [2, 4, 6, 19]. As a result, some authors have recommended that TKA should be performed without tourniquets in patients who are at risk [5, 6]. In addition, two prospective randomized studies suggested that TKA performed without tourniquets is safe [16, 18].…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic peripheral vascular disease in total knee arthroplasty: preoperative prevalence and risk factors

Park

Lee

Park

et al. 2014

J Orthopaed Traumatol

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BackgroundAlthough vascular disease is commonly accepted as a risk factor for wound complications and prosthetic joint infections, little is known about the preoperative prevalence of lower-extremity peripheral vascular disease in patients undergoing total knee arthroplasty (TKA). In this study, we investigated the prevalence of asymptomatic vascular disease and its risk factors.Materials and methodsA total of 1,000 knees of 692 patients who underwent primary TKA due to osteoarthritis were preoperatively evaluated by experienced musculoskeletal radiologists using Doppler ultrasonography of the lower extremity vessels. The mean age of the patients was 74.1 years (range 65–81). Risk factors for development of peripheral vascular disease were investigated.ResultsAbnormal findings were identified in 38 knees of 32 patients (4.6 %); atherosclerotic changes in 31 knees of 25 patients (3.6 %), deep vein thrombosis (DVT) in two knees, and anomalous vessels in five knees. Three out of 31 knees with atherosclerotic changes showed severe luminal stenosis. Two knees were moderate and 26 knees showed mild changes according to our institutional criteria. Multivariate logistic regression analysis showed that age and diabetes mellitus were positively associated with vascular pathology.ConclusionThe prevalence of incidentally detected peripheral vascular disease was significant. Three of 31 knees had severe arterial stenosis and two knees had DVT. All patients with vascular pathologies had one or more risk factors related to vascular disease. Out of those patients, age was the most important risk factor. Understanding the prevalence of vascular pathology and related risk factors in TKA candidates may be important for successful TKA.Level of Evidence Level III.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Asymptomatic peripheral vascular disease in total knee arthroplasty: preoperative prevalence and risk factors

Park

Lee

Park

et al. 2014

J Orthopaed Traumatol

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“…Iatrogenic causes of popliteal artery pseudoaneurysm are multiple. Placement of external fixator, total knee arthroplasty, knee arthroscopy, percutaneous transluminal angioplasty, acupuncture, femoral embolectomy, and other causes [3][4][5][6][7][8][9][10][11][12] have been described in the literature as the cause of popliteal pseudoaneurysm formation. Treatment classically consists of surgical correction.…”

Section: Discussionmentioning

confidence: 99%

Cannulated Screw for Proximal Tibial Fracture Complicated by Iatrogenic Popliteal Pseudoaneurysm: Definitive Treatment by Ultrasound-Guided Thrombin Injection

Maleux¹,

Thijs²,

Heye³

et al. 2006

The Journal of Trauma: Injury, Infection, and Critical Care

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“…Ancak, izole olarak mevcuttur. [15] Popliteal fossada kapsül ile ilişkili lezyonlar diz ekleminde hemartroz bulgusu vererek de ortaya çıkabilir; alt ekstremiteye emboli atar veya anevrizma içinde tromboz gelişirse alt ekstremite iskemisi gibi ciddi morbidite ile karşılaşılabilir. Derin ven trombozu ile karıştırılabilir ki venöz travma sonrasında da psödoanevrizma gelişme riski vardır ve araştırılmalıdır.…”

Section: Nöroloji̇k Kompli̇kasyonlarunclassified

Total diz artroplastisi nörovasküler komplikasyonları

Karahan¹,

Kayalı²

2019

TOTBID

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primer ve total diz artroplastileri nedeniyle, ciddi morbidite yaratan bu komplikasyonun cerrahlar tarafından küçümsenmemesi gerekmektedir. Genel çerçevede, arteriyel yaralanmaları literatürde olgu sunumları ve olgu serileri şeklinde görmekteyiz. Ancak, hastane kayıtları taranarak yapılan çalışmalar bu komplikasyonun insidansı hakkında bilgi vermektedir. Abularrageve ark., 1996-2003 yılları arasında yaptıkları, 24.029 primer VASKÜLER KOMPLİKASYONLAR Majör vasküler yaralanma, total diz artroplastisi (TDA) sırasında nadir görülen, ancak ciddi morbidite, ampütasyon hatta mortalite ile sonuçlanabilecek bir komplikasyondur. Genel olarak direkt damar yaralanması, psödo-anevrizma ve arteriovenöz fistül formasyonunda gözlenmektedir. Göreceli olarak düşük oranlarda görülmesine rağmen, giderek artan oranlarda yapılan

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Popliteal aneurysm after total knee arthroplasty

Cited by 61 publications

References 13 publications

Asymptomatic peripheral vascular disease in total knee arthroplasty: preoperative prevalence and risk factors

Asymptomatic peripheral vascular disease in total knee arthroplasty: preoperative prevalence and risk factors

Cannulated Screw for Proximal Tibial Fracture Complicated by Iatrogenic Popliteal Pseudoaneurysm: Definitive Treatment by Ultrasound-Guided Thrombin Injection

Total diz artroplastisi nörovasküler komplikasyonları

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