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Popliteal Artery Stent Thrombosis After Multiligamentous Knee Injury Reconstruction: A Case Report
Joseph Jon Yin Wan1, Grace I-Ling Tan, Siti Mastura Rahim
1Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
Case:
A 44-year-old man sustained a thrombosed popliteal artery after a closed left knee dislocation after a high-energy motor vehicle collision. He underwent emergency open popliteal artery embolectomy, with insertion of endovascular stent. After arthroscopic multiligamentous knee injury reconstruction (MLKI-R) on day 18 after injury, he developed stent thrombosis, which resolved with urgent percutaneous thrombectomy.
Conclusion:
This is the first report of popliteal artery stent thrombosis after MLKI-R. Knee surgery in a revascularized limb has remained controversial, but studies are scarce in the literature. Frequent circulation monitoring and vascular specialist availability postoperatively are still key to detecting this complication and early revascularization.
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