Related Experiment Video
Updated: Jun 11, 2025
05:16
Maintenance of a Lateral Fluid Percussion Injury Device
Published on: April 21, 2023
858
Vascular Injury during Total Knee Replacement and Check List to Follow in its Management: Case Report
Sanjay Agarwala1, K P Pruthvi1, Mayank Vijayvargiya1
1Department of Orthopedics, P.D Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
Journal of Orthopaedic Case Reports
|October 9, 2024
Summary
Vascular injury during total knee replacement (TKR) is rare but serious. Prompt recognition and interdisciplinary collaboration with vascular surgeons are key to successful outcomes and preventing limb loss.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Medical Imaging
Background:
- Vascular injury is a rare but severe complication of total knee replacement (TKR).
- Early detection and intervention are critical for managing TKR-related vascular injuries.
- Interdisciplinary collaboration improves patient outcomes and reduces risks like limb loss.
Observation:
- A 68-year-old woman developed a popliteal artery thrombus after bilateral TKR.
- Postoperative decreased oxygen saturation in the left lower limb indicated vascular compromise.
- CT angiography and digital subtraction angiography confirmed a 4.5 cm popliteal artery thrombus.
Findings:
- Surgical exploration revealed a popliteal artery laceration and thrombus.
- Thrombectomy with a Fogarty catheter and end-to-end arterial repair were performed.
- The patient experienced a successful outcome and full recovery.
Implications:
- This case underscores the need for vigilance regarding vascular injury during TKR.
- Immediate communication with vascular surgeons and interventional radiologists is crucial.
- Multidisciplinary collaboration is essential for optimal management of vascular complications after TKR.
Keywords:
Vascular injurydigital subtraction angiographypopliteal arterythrombustotal knee replacementMore Related Videos
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
4
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...
4
01:30Venous Thrombosis IV: Nursing Management
3
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
3
01:22Aneurysm IV: Nursing Management
3
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...
3
01:29Venous Thrombosis III: Interprofessional Care
3
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
3
01:22Acute Kidney Injury VI: Nursing Management
2
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
2
01:30Continuous Renal Replacement Therapy
2
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
2