Acute arterial thrombosis associated with total knee arthroplasty

Abstract

Thrombectomy alone for acute arterial thrombosis associated with TKA generally is unsuccessful and associated with unacceptably high amputation rates. Dismal results without emergency bypass is due to underlying chronic occlusive atherosclerotic disease found in these patients and intimal plaque disruption that can occur with knee manipulation or tourniquet compression. Acute arterial occlusion after TKA is best managed by emergency arteriography and a femoroinfrageniculate bypass.

Intraoperative Endovascular Stent-graft Repair of a Popliteal Artery Laceration and Occlusion during Total Knee Arthroplasty

“…3e9 Although rare, these complications deserve attention as they may have dire consequences, with mortality reaching up to 7%, amputation of up to 42%, as well as the development of other morbidities such as foot drop. 7 Injury may result in arterial occlusion, laceration, or both. Thrombotic occlusion is caused by an indirect mechanism such as joint manipulation or tourniquet application and presents with limb ischemia.…”

Endovascular Treatment in Emergency Setting of Acute Arterial Injuries After Orthopedic Surgery

“…Arterial injuries are a rare occurrence during elective orthopedic procedures, but the complications are significant, and the morbidity in terms of limb loss and long-term functional deficit can be devastating [2,14]. In addition to the intrinsic risk due to arterial proximity, Wilson et al [2] identified peripheral vascular disease (PVD) as a significant risk factor for arterial injury in patients undergoing elective orthopedic joint reconstruction.…”

Position of the popliteal artery in revision total knee arthroplasty

“…The incidence in total knee arthroplasty is thought to be *0.03 to 0.05% [2,5,10]. It has been postulated that this complication may be generally underreported in the literature [7].…”