Pseudoaneurysm of the distal thigh after manipulation of a total knee arthroplasty

Autor: Kenneth McCulloch, David S. Geller, Mickey Plymale, Andrew J. Lovy, Kevin O'Halloran, Chris Sambaziotis
Rok vydání: 2011
Předmět:
Zdroj: The Journal of arthroplasty. 27(7)
ISSN: 1532-8406
Popis: The authors describe a unique complication after manipulation of a stiff total knee arthroplasty in a 47-year-old man. Four days after undergoing manipulation under anesthesia (MUA), the patient presented with increasing pain and swelling of the affected knee and decreased hemoglobin/hematocrit. Computed tomographic angiogram revealed a ruptured pseudoaneurysm of a segmental branch of the deep femoral artery that was treated with embolization and anterior thigh compartment fasciotomy. Although many complications of MUA have been described, we present a novel finding of a ruptured pseudoaneurysm. Ruptured pseudoaneurysm should be included in the differential diagnosis whenever a patient presents with pain and swelling of the thigh after MUA given its potential morbidity.
Databáze: OpenAIRE