Related Experiment Video
Updated: Aug 1, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Acute arterial occlusion after total knee arthroplasty
Georg Matziolis1, Carsten Perka, Karsten Labs
1Department of Orthopedics, Charité, Schumannstr. 20-21, 10117, Berlin, Germany. Georg.Matziolis@Charite.de
Archives of Orthopaedic and Trauma Surgery
|December 6, 2003
Summary
Arterial thrombosis can occur in total knee arthroplasty irrespective of ischemic time. Performing surgery without ischemia is recommended for patients with risk factors to prevent popliteal artery occlusion.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Thrombosis Research
Background:
- Ischemic time is a known risk factor for arterial thrombosis in total knee arthroplasty.
- Popliteal artery occlusion is a potential complication following knee surgery.
Observation:
- Two cases of thrombotic occlusion of the popliteal artery after total knee arthroplasty are presented.
- The first patient underwent surgery with a prolonged ischemic time, while the second had a limited ischemic time (cementing phase only).
Findings:
- Arterial thrombosis occurred in both patients, despite variations in ischemic time.
- Immediate vascular surgery in both cases did not result in clinical restrictions.
Implications:
- The duration of ischemia may not be the sole predictor of arterial thrombosis in total knee arthroplasty.
- Consideration should be given to performing total knee arthroplasty without ischemia in patients with identified risk factors for arterial thrombosis.
Related Concept Videos
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...