Pseudoaneurysm of the distal thigh after manipulation of a total knee arthroplasty.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22115766.
- Also identified by DOI 10.1016/j.arth.2011.10.009.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
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.
Medical subject headings
- Aneurysm, False
- Aneurysm, Ruptured
- Arthroplasty, Replacement, Knee
- Femoral Artery
- Manipulation, Orthopedic
Anatomy
- knee
- femur