Experience of treatment of popliteal artery injury in knee arthroplasty

doi:10.3877/cma.j.issn.1674-134X.2019.01.022

Abstract

Abstract:

Objective

To investigate the causes and treatment of popliteal artery injuries in knee arthroplasty.

Methods

The clinical data of six patients with popliteal artery injuries during knee arthroplasty in Yantaishan Hospital from October 2010 to May 2018 were retrospectively analyzed. Among them, five cases were popliteal artery pseudoaneurysm and one was popliteal artery thrombosis. The popliteal artery pseudoaneurysm was treated by local compression, thrombin injection and popliteal artery repair. The popliteal artery thrombosis was treated by catheter-directed thrombolysis.

Results

One case of popliteal artery thrombosis was restored by catheter-directed thrombolysis. Five cases of popliteal artery pseudoaneurysm relieved from the syndromes after the treatment. One case underwent local compression, one case received local injection of thrombin, and three cases underwent popliteal artery repair.

Conclusion

The causes of popliteal artery injuries in knee arthroplasty are related to the patient’s basic diseases, vascular conditions and intraoperative operations; the effective treatment can be obtained by selecting appropriate treatment methods according to the popliteal artery injury type.

Key words: Arthroplasty, replacement, knee, Popliteal artery, Wounds and injuries, Thrombolytic therapy

Tao Fang, Zhilei Xie, Dunyuan Xu, Wenli Wang, Yanmei Li. Experience of treatment of popliteal artery injury in knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(01): 118-121.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2019.01.022

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2019/V13/I01/118

Figures/Tables 1

References 9

[1]	Mureebe L, Gahtan V, Kahn MB, et al. Popliteal artery injury after total knee arthroplasty[J]. Am Surg, 1996, 62(5): 366-368.
[2]	Butt U, Samuel R, Sahu A, et al. Arterial injury in toal knee arthroplasty[J]. J Arthroplasty, 2010, 25(8): 1311-1318.
[3]	李璐兵，赵博，王成伟，等．间断使用止血带在合并下肢血管疾病患者行全膝关节置换术中的应用[J]．中华骨与关节外科杂志，2017，10(5):382-385.
[4]	Abularrage CJ, Weiswasser JM, Dezee KJ, et al. Predictors of lower extremity arterial injury after total knee or total hiparthroplasty[J]. J Vasc Surg, 2008, 47(4): 807-808.
[5]	张启栋，刘朝晖，郭万首．全膝关节置换术血管损伤并发症的研究进展[J]．中日友好医院学报，2013，27(2):110-112.
[6]	Thorey F, Stukenborg-Colsman C, Windhagen H, et al. The effect of tourniquet release timing on perioperative blood loss in simultaneous bilateral cemented total knee arthroplasty: a prospective randomized study[J]. Technol Health Care, 2008, 16(2): 85-92.
[7]	Kumar SN, Chapman JA, Rawlins I. Vascular injuries in total knee arthroplasty. A review of the problem with special reference to the possible effects of the tourniquet[J]. J Arthroplasty, 1998, 13(2): 211-216.
[8]	李志文，廖威明．全膝关节置换术后围手术期并发症的研究进展[J/CD]．中华关节外科杂志(电子版)，2017，11(5):521-525.
[9]	Dossche L, Brabants KA. Arterial graft occlusion after total knee arthroplasty treated by prompt thrombectomy[J]. J Arthroplasty, 2002, 17(5): 670-672.

[1]	Kang Li, Xilin Geng, Yuliang Wang, Jingsheng Liu. Research progress in the diagnosis and treatment of ankle Logsplitter injury [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 566-570.
[2]	Yu Zhao, Song Zhao, Jinzhong Zhao. Research progress in secondary knee osteoarthritis after anterior cruciate ligament injury and reconstruction [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(03): 415-423.
[3]	Xu Wang, Yanlin Li, Guoliang Wang, Zhenglyu Zhao, Di Jia, Ziwen Ning, Zhengliang Shi, Lu He, Kun Wang. Clinical outcome of anterior cruciate ligament partial injury repair with suture anchor under arthroscopy [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(03): 326-333.
[4]	Yuxuan Jiang, Ying Chen, Zhongming Zhou, Baohong Wen, Wentao Chen, Guoqing Zhong, Yu Zhang, Liping Li. Research progress of general joint hypermobility [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(01): 52-59.
[5]	Wang Wu, Huijie Yu, Maoxian Yang, Qianqian Wang, Jiangang Zhu, Lei Liu, Zhen Jiang, Yongshuai Shen, Peng Shen. Prognostic value of serum calcium in patients with trauma-induced coagulopathy [J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2023, 16(04): 300-305.
[6]	Xiangmin Wu, Peng Wu. Application effect of ultrasound-guided adductor canal block combined with infiltration between the popliteal artery and capsule of the posterior knee block in total knee arthroplasty for elderly patients [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(06): 516-522.
[7]	Jie Mi, Chen Chen, Jialing Li, Haina Pei, Hengbo Zhang, Fei Li, Dongjie Li. Analysis of the characteristics of children's head and face trauma [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(06): 511-515.
[8]	Jiangtao Liu, Yiyong Wang, Ronglan Ouyang, Shurun Huang. Clinical effect of modified pedicled thoracic umbilical flap in the repair of deep wound of wrist back [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(04): 321-325.
[9]	Hongyu Wang, Biao Zhou, Zengqiang Yan, Zhihui Hou, Qi De, Rui Yang, Ruijia Wang, YangYang Li, Ruijuan Huang, Te Ba. Clinical effect of double layer artificial dermis combined with autologous blade thick skin transplantation in repairing the bone or tendon exposure after burn trauma [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(01): 25-31.
[10]	Haihua Huang, Zeyong Wu, Xiufeng Chen, Xiaofang Li, Yucang Shi, Shuhao Xu, Qizhi Luo, Suijiang Wang, Yuesheng Huang. Pedicled medial sural artery or combined posterior tibial artery multiple perforator flap for the repair of lower leg wound [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(06): 496-501.
[11]	Tiantian Liu, Ming Li, Hanting Zhu, Tao Ni, Yinbo Peng, Yong Fang. Clinical sample validation of iron overload at the wound edge and the effect of iron overload on wound healing in mice [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(06): 475-481.
[12]	Rui Liu, Shuming Wang. Research progress on the effect and related mechanism of valproic acid in anti shock [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(04): 359-362.
[13]	Hao Liu, Cheng Feng, Zhi Wang. Progress in application of dressings contain silver ion in treatment of various refractory wounds [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(03): 257-259.
[14]	Ming Li, Tiantian Liu, Hanting Zhu, Yong Fang, Tao Ni. Effects of LED red light on wound healing in diabetic rats [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(01): 18-24.
[15]	Jingping Ge, Yuanyuan Yin, Juan He, Yan Li. Effect of simple intelligent air pressure band blocking time on thrombolysis of lower extremity deep venous thrombosis [J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(04): 387-390.

Please choose a citation manager

Content to export