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Popliteal aneurysm after total knee arthroplasty. Case reports and review of the literature.

Authors
  • Hozack, W J
  • Cole, P A
  • Gardner, R
  • Corces, A
Type
Published Article
Journal
The Journal of Arthroplasty
Publisher
Elsevier
Publication Date
Dec 01, 1990
Volume
5
Issue
4
Pages
301–305
Identifiers
PMID: 2290084
Source
Medline
License
Unknown

Abstract

Vascular complications after total knee arthroplasty include arterial occlusion, arterial severance, arteriovenous fistula, and arterial aneurysm. Both a false aneurysm and a true aneurysm of the popliteal artery are described. The false popliteal aneurysm resulted from direct surgical trauma and required excision and repair. The true popliteal aneurysm was unsuccessfully treated with excision, transfemoral thrombectomy, and bypass surgery. Many of the vascular complications after total knee arthroplasty may be preventable and the following prudent guidelines are suggested. Careful preoperative evaluation is critical, including past medical history, palpation of pedal pulses, and review of radiographs to identify abnormal calcification in the vessels. Vascular consultation may be necessary. Should a vascular complication occur, immediate intervention with the advice and assistance of a vascular surgeon is imperative.

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