Popliteal artery injury after total knee arthroplasty.
Total knee arthroplasty (TKA) is a commonly performed orthopedic procedure. The incidence of vascular complications after TKA is low. However, these complications may be debilitating, limb-threatening, and potentially avoidable. Our first patient, who had no preexisting vascular occlusive disease, developed an ischemic extremity after TKA. The second patient underwent TKA and was diagnosed with a severely ischemic limb 48 hours postoperatively. Both patients underwent above-knee to below-knee popliteal artery saphenous vein bypass grafting. Although limb salvage was obtained in both cases, one had a significantly neuropathic foot. In conclusion, long-term morbidity can be avoided by early identification and treatment of ischemia by bypass grafting.
Duke Scholars
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Related Subject Headings
- Surgery
- Postoperative Complications
- Popliteal Artery
- Male
- Leg
- Knee Prosthesis
- Ischemia
- Humans
- Female
- Aged, 80 and over
Citation
Published In
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Surgery
- Postoperative Complications
- Popliteal Artery
- Male
- Leg
- Knee Prosthesis
- Ischemia
- Humans
- Female
- Aged, 80 and over