Treatment of Recurrent Hemarthrosis Following Total Knee Arthroplasty Using Surgical Interventions

Park, Keun Ho; Kim, Dong Hwi; Jang, Se Woong; Ryu, Je Hong; Ko, Kang Yeol

doi:10.4055/cios20066

Cited by 5 publications

(10 citation statements)

References 21 publications

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“…DSA can aid in the diagnosis of recurrent hemarthrosis, while therapeutic selective genicular artery embolization (GAE) provides satisfactory clinical results [4] . In alignment with published literature, GAE demonstrates notable effectiveness with an 86% success rate.…”

Section: Discussionmentioning

confidence: 99%

Genicular artery embolization for recurrent hemarthrosis: A case report

Salm,

Alzubaidi,

Leusink

2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Genicular artery embolization for recurrent hemarthrosis: A case report

Salm,

Alzubaidi,

Leusink

2024

Radiology Case Reports

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“…It is thus more likely that the complications reported were due to the non-resorbable characteristic of the microspheres used than to the size of the beads. This opens discussion on the use of other temporary embolic agents in this field, such as gelfoam [34] or lipiodol. A study is currently evaluating the use of lipiodol in MSK embolization (NCT04733092).…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Embolization with Microspheres in Chronic Refractory Inflammatory Shoulder Pain: A Pilot Monocentric Study on 15 Patients

Gremen

Frandon

Lateur³

et al. 2022

Biomedicines

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Purpose: Musculoskeletal (MSK) embolization is emerging in tendinopathy treatment. The objective of this study was to assess the efficacy and safety of MSK embolization with microspheres in the treatment of chronic shoulder pain. Patients and methods: This retrospective monocentric study included patients with chronic shoulder pain resistant to 6 months or more of conventional therapies who were treated with MSK embolization between 2017 and 2021. Embolization was performed using calibrated 100–250 µm microspheres. Clinical success was defined as pain reduction, i.e., a decrease in the visual analogue scale (VAS) pain score of ≥50% at 3 months after MSK embolization as compared to baseline. Adverse events were collected. Results: Fifteen patients (11 women, 4 men) were included, with a median age of 50.3 years (IQR: 46.7–54.5). The median duration of symptoms was 26.6 months (20.6–39.8). The median VAS pain scores were 7.0 (7.0–8.0) at baseline, 6.0 (3.5–7.0) at 1 month, 5.0 (4.5–6.5) and 5.0 (3.0–7.4) at 3 months and 6 months (p = 0.002). Three patients (20%) reported clinical success at 3 months. Three patients experienced minor complications after embolization (paresthesia, n = 2; transient osteo-medullary edema, n = 1) and two patients had moderate complications (transient skin ischemia). Conclusion: MSK embolization with microspheres for treatment of refractory chronic shoulder pain showed moderate results in terms of clinical success and safety.

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“…A synovial fistula is a condition caused by a passage or communication between a synovial space and a joint. The condition generally occurs after arthrotomy or a trauma-associated joint capsule rupture in the knee joint [ 2 , 3 , 4 , 5 , 6 , 7 ], though it has been reported in the shoulder or arm [ 8 , 9 , 10 , 11 , 12 , 13 ]. A synovial fistula can also be caused by complications of rheumatoid arthritis and by suture material reactions [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Synovial Fistula of the Ankle Joint: A Case Series

Park

Woo

et al. 2022

JCM

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(1) Background: Little is known about the etiology, clinical features, diagnosis methods, treatments, and the prognosis of synovial fistula of the ankle joint. The purpose of this study is to investigate the clinical features of synovial fistula of the ankle joint. (2) Methods: Between March 2003 and December 2018, 40 cysts associated with synovial fistula of the ankle joint were treated consecutively by two surgeons. Case histories, clinical manifestations, intraoperative findings, surgical treatment methods, and treatment outcomes were evaluated to characterize fistula-associated cysts. The clinical results were assessed using the visual analog scale (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot functional scores, preoperatively and at the last follow-up. (3) Results: The main complaints were ankle instability and pain (15 patients), pain only (15 patients), instability (seven patients), and cosmetic problems (three patients). Eleven patients had a cyst with an open skin wound, and eight of these patients had undergone surgery under a misdiagnosis of bursitis. Cysts were located anterior to the lateral malleolus in 22 cases, next to the lateral malleolus in 13 cases, posterior to the lateral malleolus in three cases, and across the entire lateral malleolus in two cases. Mean VAS and AOFAS scores improved from 5.2 (range, from 1 to 7) and 72.3 (range, from 65 to 87) preoperatively to 1.1 (range, from 0 to 3) and 93.6 (range, from 85 to 100), respectively, at final follow-up visits. (4) Conclusions: Cyst occurrence due to a synovial fistula should be considered when treating a cyst around the lateral malleolus. Fistula repair and reinforcement with fibular periosteum provides a good treatment option for cysts attributed to synovial fistula of the ankle that fail to respond to conservative treatment.

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Treatment of Recurrent Hemarthrosis Following Total Knee Arthroplasty Using Surgical Interventions

Cited by 5 publications

References 21 publications

Genicular artery embolization for recurrent hemarthrosis: A case report

Genicular artery embolization for recurrent hemarthrosis: A case report

Safety and Efficacy of Embolization with Microspheres in Chronic Refractory Inflammatory Shoulder Pain: A Pilot Monocentric Study on 15 Patients

Characteristics of Synovial Fistula of the Ankle Joint: A Case Series

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