Arterial complications after knee arthroplasty:4 cases and a review of the literature
- 1 January 1996
- journal article
- review article
- Published by Medical Journals Sweden AB in Acta Orthopaedica
- Vol. 67 (1), 75-78
- https://doi.org/10.3109/17453679608995616
Abstract
We reviewed 40 cases of arterial complications after total knee replacement from the literature and report 4 of our own cases. The incidence is low (0.03%–0.2%), but the prognosis is poor, with death or amputation in one fourth of the cases. Preexisting arterial insufficiency, absent pedal pulses, arterial calcification on plane radiographs, femoro- popliteal/distal grafts are all predisposing factors. Therefore, preoperative risk factor evaluation as well as rapid and adequate handling in case of bleeding and/or ischemic complications pre- and postoperatively are crucial. Cooperation with a vascular surgeon is also essential.Keywords
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