Late spontaneous haemarthrosis: an unusual complication following an unicompartmental knee arthroplasty

Raet, Jan De; Verhaven, E.; Kemnitz, Stefan

doi:10.1007/s00167-006-0251-2

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…The circumstantial evidence points to the trauma as a cause of component loosening. Recurrent hemarthrosis after UKA, in itself, is a very rare complication [10,11]. There are only two cases were reported in English literatures.…”

Section: Discussionmentioning

confidence: 99%

“…There are only two cases were reported in English literatures. Maheshwari reported a case of spontaneous hemarthrosis caused by the saphenous branch of the descending genicular artery with a prominent vascular blush, which was successfully treated by coil embolization [10]. Raet reported a case of spontaneous hemarthrosis caused by traumatic rupture of the metal marker wire of an all-polyethylene inlay tibial implant, which caused destruction of the polyethylene surface and a disseminated synovitis [11].…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence is presumed to be less than 1% in total knee arthroplasty (TKA) [1-9], and it is merely reported after UKA [10,11]. The reported causes of hemarthrosis after TKA are impingement of the fat pad or hypertrophic vascular mass of the synovium, femoral flare eroding through an atherosclerotic superior lateral genicular artery, and pigmented villonodular synovitis [1-9].…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis

Yamakado

Arakawa²,

Hayashi

2012

BMC Sports Sci Med Rehabil

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A case of recurrent hemarthrosis of the knee after a mobile-bearing unicompartmental knee arthroplasty (UKA; Oxford UKA) is described. A 58-year-old man met with a road traffic accident 10 months after UKA. He developed anteromedial pain and hemarthrosis of the knee joint 1 month after the accident, which required multiple aspirations. Physical examination showed no instability. Plain radiograph revealed no signs of loosening. All laboratory data, including bleeding and coagulation times, were within normal limits. Diagnostic arthroscopy demonstrated loosening of the femoral component. Any intraarticular pathology other than nonspecific synovitis was ruled out. The loose femoral component and polyethylene meniscal bearing were revised. Since then, hemarthrosis has not recurred.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis

Yamakado

Arakawa²,

Hayashi

2012

BMC Sports Sci Med Rehabil

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“…7 Although reported cases of hemarthrosis after arthroplasty have most often occurred with total knee arthroplasty (TKA), several cases of hemarthrosis after UKA have been described. 2,10,11 Similar to TKA, causes of hemarthrosis after UKA are thought to involve synovitis, probably due to the presence of metallic debris and hyperplastic blush of the descending genicular artery. 10,11 No relationships to the type of prosthesis or use of cement have been identifi ed.…”

Section: Discussionmentioning

confidence: 99%

“…2,10,11 Similar to TKA, causes of hemarthrosis after UKA are thought to involve synovitis, probably due to the presence of metallic debris and hyperplastic blush of the descending genicular artery. 10,11 No relationships to the type of prosthesis or use of cement have been identifi ed. 12 The most distinctive source of hemarthrosis is thought to be impingement of the proliferative synovium between articulating prosthetic components.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Hemarthrosis After Unicompartmental Knee Arthroplasty

Asanuma¹,

Itô²,

Ogawa³

et al. 2011

Orthopedics

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Recurrent hemarthrosis after knee arthroplasty can be disabling, requiring adequate and immediate diagnosis and treatment for recovery of symptoms and joint function. The most commonly reported cause is impingement of proliferative synovium between prosthetic components. Although various procedures for hemarthrosis have been reported after knee arthroplasty for patients who do not respond to conservative treatment, the recommended first-line therapy is open surgery or embolization. Although hyperplastic synovium was observed during the first and second arthrotomy, in our case, tissue impingement was not detected. We describe a rare case of recurrent hemarthrosis after unicompartmental knee arthroplasty (UKA) and successful treatment by open synovectomy. A 66-year-old woman presented with spontaneous osteonecrosis of the medial femoral condyle in the right leg. She underwent UKA of the right knee of the medial condyle. Eighteen months after UKA, the patient developed recurrent hemarthrosis. Open arthrotomy was performed 22 months after UKA, revealing only hematoma with no obvious hemorrhage or loosening of the prosthesis. No history of trauma or use of anticoagulant medications was present. After a symptom-free period of 8 months, another 2 episodes of hemarthrosis occurred over the course of 8 months. A second open arthrotomy was performed. Hyperplastic synovium with fibrin and hemosiderin pigmentation was observed, again without hemorrhage or loosening. There were no pathological features of pigmented villonodular synovitis. Synovectomy was performed, and no hemarthrosis has recurred for 2 years.

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Recurrent hemarthrosis after total knee arthroplasty

Rukavina

Kerkhoffs

Schneider

et al. 2010

Knee Surg Sports Traumatol Arthrosc

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This report describes a case of spontaneous recurrent hemarthrosis of the knee that presented 4 weeks after total knee arthroplasty. Femoral arteriography showed a false aneurysm of a branch of the inferior lateral geniculate artery. Therapeutic embolization of the arterial branch was performed using three platinum coils with good clinical result and good knee joint function. Hemarthrosis has not recurred since embolization.

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Late spontaneous haemarthrosis: an unusual complication following an unicompartmental knee arthroplasty

Cited by 4 publications

References 6 publications

Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis

Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis

Recurrent Hemarthrosis After Unicompartmental Knee Arthroplasty

Recurrent hemarthrosis after total knee arthroplasty

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