2019
DOI: 10.5435/jaaos-d-18-00182
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Recurrent Hemarthrosis After Total Knee Arthroplasty: Evaluation and Treatment

Abstract: Recurrent hemarthrosis (RH) is a rare complication (∼1%) after total knee arthroplasty (TKA). It is a complex and particularly frustrating problem for both patient and surgeon. Typically, patients present several months to years after their index TKA surgery with a painful and swollen joint. Although conservative management may provide temporary relief, the rate of recurrence is high. Despite extensive case series in the literature, no consensus was made on the criteria needed to establish this diagnosis, or h… Show more

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Cited by 16 publications
(26 citation statements)
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“…Local factors include trauma, in amed synovium or vascular anomaly (e.g., arteriovenous malformation) and injury. Cases caused by iatrogenic vascular injury usually present with swelling within 6 months postoperatively [33]. There were no such cases in this study.…”
Section: Discussionmentioning
confidence: 55%
“…Local factors include trauma, in amed synovium or vascular anomaly (e.g., arteriovenous malformation) and injury. Cases caused by iatrogenic vascular injury usually present with swelling within 6 months postoperatively [33]. There were no such cases in this study.…”
Section: Discussionmentioning
confidence: 55%
“…Iatrogenic factors include an unrecognized vascular injury, implant malposition, loosening or knee instability [30]. Cases caused by vascular injury usually presents swelling within 6 months postoperatively [30]. There were no such cases in this study.…”
Section: Synovitismentioning
confidence: 71%
“…malaligned implants could lead to asymmetric PE wear and particle generation, causing synovial proliferation, subsequent impingement and bleeding. This is a more chronic process, usually occurring later than one year after TKA [30]. Four patients had wear induced synovitis in the current study.…”
Section: Synovitismentioning
confidence: 72%
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“…Therefore, it is likely that preoperative synovitis subsides after TKA. However, there are a few reports describing postoperative synovitis in painful TKA such as patella clunk syndrome [3,17] and recurrent hemarthrosis [13,14].…”
Section: Introductionmentioning
confidence: 99%