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Deep vein thrombosis following arthroscopic meniscal root repair: A case report
Piya Chavalparit1, Chaiwat Chuaychoosakoon1, Wachiraphan Parinyakhup1
1Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla 90110, Thailand.
Introduction:
Deep vein thrombosis (DVT) following arthroscopic surgery is a rare condition, especially arthroscopic meniscal surgery. There have been three reported cases of DVT after arthroscopic meniscal procedure, all related to arthroscopic meniscectomy. In this study, we reported the first case of symptomatic DVT at the level of the femoral vein to the popliteal vein following arthroscopic meniscal root repair.
Case Presentation:
The case was a 55-year-old Thai female who presented with left knee pain for 2 months after a fall. She was diagnosed as left medial meniscal root injury and had had an arthroscopic meniscal root repair. At 6 weeks post-operatively, she developed left leg swelling without pain. She was diagnosed as DVT and was initially treated with enoxaparin for three days then warfarin for three months.
Conclusion:
We report a case of symptomatic DVT that extended from the femoral vein to the popliteal vein after arthroscopic meniscal root repair. The risks of DVT following arthroscopic surgery are aged more than 40 years old and tourniquet time more than 60 min.
Insights
Deep vein thrombosis (DVT) is a rare complication after arthroscopic meniscal surgery. This case report details a DVT extending from the femoral to the popliteal vein following arthroscopic meniscal root repair in a patient over 40.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Thrombotic Disorders
Background:
- Deep vein thrombosis (DVT) is uncommon after arthroscopic surgery, particularly meniscal procedures.
- Only three cases of DVT post-arthroscopic meniscal surgery have been reported, all linked to meniscectomy.
- This study presents the first documented instance of DVT extending from the femoral to the popliteal vein after arthroscopic meniscal root repair.
Purpose of the Study:
- To report a rare case of deep vein thrombosis following arthroscopic meniscal root repair.
- To highlight potential risk factors associated with DVT after arthroscopic knee surgery.
Main Methods:
- A case report of a 55-year-old female diagnosed with left medial meniscal root injury.
- The patient underwent arthroscopic meniscal root repair.
- Post-operative monitoring revealed symptomatic DVT, treated with anticoagulation.
Main Results:
- The patient developed DVT extending from the femoral vein to the popliteal vein six weeks post-arthroscopic meniscal root repair.
- The DVT was symptomatic, presenting as left leg swelling.
- Treatment involved initial enoxaparin followed by warfarin therapy.
Conclusions:
- Symptomatic deep vein thrombosis can occur after arthroscopic meniscal root repair, extending from the femoral to the popliteal vein.
- Risk factors for DVT post-arthroscopic surgery include age over 40 and tourniquet time exceeding 60 minutes.
