Iatrogenic injury of the popliteal artery in orthopedic knee surgery: clinical results and development of a therapeutic algorithm.
Purpose: Intraoperative injury to the popliteal artery is a rare complication of orthopedic surgery, however, it can have serious consequences, including major amputation. Recommendations for a standard approach are lacking. The aim of this study was to develop an interdisciplinary therapeutic algor...
| Published in: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 5; pp. 4169 - 4180 |
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| Main Authors: | , , , , , |
| Format: | algorithm diagnostic images pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Oct2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159499566&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159499566 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Oct2022 vid: 48 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159499566 156040370 159499566 159499566 10.1007/s00068-022-01961-8 159499566 ppf: 4169 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Iatrogenic injury of the popliteal artery in orthopedic knee surgery: clinical results and development of a therapeutic algorithm. aug: au: Gosslau, Yvonne Warm, Tobias Dominik Foerch, Stefan Zerwes, Sebastian Scheurig-Muenkler, Christian Hyhlik-Duerr, Alexander affil: Vascular Surgery, Faculty of Medicine, University of Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany sug: subj: Iatrogenic Disease Popliteal Artery Injuries Orthopedic Care Knee Surgery Algorithms Blood Vessels Injuries Multidisciplinary Care Team Postoperative Complications Prevention and Control Retrospective Design Arthroplasty, Replacement, Knee Arthroscopy Osteotomy Hemorrhage Ischemia Aneurysm, False Surgery Endovascular Procedures Thrombectomy Thrombin Administration and Dosage Administration, Intravenous Embolization, Therapeutic Saphenous Vein Functional Status Functional Assessment Early Diagnosis Age Factors Human Male Female Data Analysis Software Descriptive Statistics Male Female ab: Purpose: Intraoperative injury to the popliteal artery is a rare complication of orthopedic surgery, however, it can have serious consequences, including major amputation. Recommendations for a standard approach are lacking. The aim of this study was to develop an interdisciplinary therapeutic algorithm to assist in complication management. Methods: From 01/11 to 12/20, 16 arterial injuries after knee surgery were analyzed in a retrospective single-center study. Four cases involved recurrent orthopedic surgery. Procedures performed included eleven total knee arthoplasties (TKA), two TKA replacements, one arthroscopy, and two high tibial osteotomies. Clinical presentation of patients was hemorrhage (n = 2), ischemia (n = 7), the combination of both (n = 4), or pseudoaneurysm formation (n = 3). Results: Ten patients underwent endovascular treatment, some as combined procedures: (stent)-PTA (n = 6), aspiration thrombectomy (n = 5), thrombin injection (n = 1), and embolization (n = 1). Six patients were treated surgically: four with bypass/interposition and one with a patch plasty and one as a hybrid procedure, respectively. Only autologous great saphenous vein was used. All extremities could be preserved. Functional impairment remained in six cases. Conclusion: Both endovascular and surgical procedures can be used to treat arterial injuries after knee surgery. Efficient standardized diagnosis and the involvement of vascular expertise are essential to prevent functional impairment or limb loss, as suggested in the algorithms. pubtype: Academic Journal doctype: algorithm diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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