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Incidence of vascular injury associated with knee arthroplasty: series of cases.
Nicolino, T I; Costantini, J; Astore, I; Yacuzzi, Carlos H; Astoul Bonorino, J; Costa Paz, M; Carbó, L.
Afiliação
  • Nicolino TI; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
  • Costantini J; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of San Justo, Buenos Aires, Argentina.
  • Astore I; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
  • Yacuzzi CH; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of Buenos Aires, Buenos Aires, Argentina. ignacio.astore@hospitalitaliano.org.ar.
  • Astoul Bonorino J; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
  • Costa Paz M; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
  • Carbó L; Arthroscopy and Knee Prosthesis Sector, Italian Hospital of San Justo, Buenos Aires, Argentina.
Eur J Orthop Surg Traumatol ; 34(7): 3735-3742, 2024 Oct.
Article em En | MEDLINE | ID: mdl-38252291
ABSTRACT

INTRODUCTION:

The incidence of vascular injury associated with knee arthroplasty is scarce, but, when they occur, the consequences are serious.

OBJECTIVES:

Describe the incidence of vascular lesions in our center and evaluate time to diagnosis, resolution and follow-up. MATERIALS AND

METHODS:

Retrospective cohort during the 2010-2019 period of primary arthroplasties and knee revision. The incidence of vascular lesions and their demographic characteristics were analyzed. Type of lesion, diagnostic method and treatment were recorded. It was evaluated in distant follow-up of pain and functionality.

RESULTS:

7.940 primary total knee arthroplasty and revision surgeries were recorded, and a report of 7 emergency cases for vascular lesions was also recorded, with an incidence of 0.088%. 3 vascular lesions were caused by direct laceration of the popliteal artery, 1 case of thrombosis of the popliteal artery and 3 cases of pseudoaneurysmal lesion of the superior genicular artery. Three vascular lesions that occurred in primary arthroplasty were immediately repaired by a vascular surgeon. Pseudoaneurysm lesions and thrombosis were resolved by angiographic procedure.

DISCUSSION:

Vascular complications around the knee are rare. Time to diagnosis and treatment is essential. Digital angiography is a diagnostic and therapeutic tool. There are various repair techniques, whether it's embolization, cauterization, stenting or endoprosthesis; therefore, digital angiography is a safe method with a low complication rate.

CONCLUSION:

The incidence of vascular lesions in knee arthroplasty in our center is very low. The cases were diagnosed and resolved early, without registering subsequent complications with good functional results in distant follow-up.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Poplítea / Falso Aneurisma / Artroplastia do Joelho / Lesões do Sistema Vascular Tipo de estudo: Incidence_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Argentina País de publicação: França
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Poplítea / Falso Aneurisma / Artroplastia do Joelho / Lesões do Sistema Vascular Tipo de estudo: Incidence_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Argentina País de publicação: França