Related Experiment Videos
Recurrent hemarthrosis following a total knee arthroplasty
C S Oishi1, M L Elliott, C W Colwell
1Division of Orthopaedic Surgery, Scripps Clinic and Research Foundation, La Jolla, California 92037, USA.
The Journal of Arthroplasty
|November 1, 1995
Summary
Recurrent hemarthrosis after total knee arthroplasty can cause disabling pain. Surgical exploration and synovectomy successfully treated a case, resolving the hemarthrosis and improving patient function.
Area of Science:
- Orthopedic Surgery
- Rheumatology
Background:
- Recurrent hemarthrosis is a rare complication following total knee arthroplasty (TKA).
- Disabling hemarthrosis can significantly impair joint function and patient quality of life post-TKA.
Observation:
- A patient presented with disabling, recurrent hemarthrosis of a TKA starting after the sixth postoperative month.
- An explorative arthrotomy was performed 18 months post-implantation due to persistent symptoms.
Findings:
- A hypertrophied vascular synovial mass was identified in the lateral gutter during arthrotomy.
- Excision of the mass and synovectomy were performed.
- The patient experienced no recurrence of hemarthrosis after the surgical intervention.
Implications:
- Arthrotomy with synovectomy should be considered for disabling recurrent hemarthrosis after TKA.
- Early diagnosis and surgical management can effectively resolve this complication.
- This approach may improve outcomes for patients suffering from post-TKA hemarthrosis.