Total knee arthroplasty after an artificial femoral-popliteal arterial bypass graft

  • Yuichiro Maruyama
  • Toshihide Ochiai
  • Shinichiro Kobayasi
  • Kazuo Kaneko
Case Report
First Online:
Received:
Accepted:
  • 75 Downloads

Abstract

We experienced one case of left knee total knee arthroplasty (TKA) after artificial vascular bypass surgery for both femoral arteries from the right inguinal region. Patients requiring TKA after arterial bypass surgery to report a thrombosis are very rare, but the incidence of thrombosis in the cases of TKA after arterial bypass surgery was reported to be higher when compared to the incidence of acute arterial occlusion after common TKA. When TKA is performed in such a patient, a strict anticoagulation therapy is necessary to perform assessment of vascular status carefully pre- and postoperatively. Further, it is important to perform surgery with consideration of intraoperative procedures such as no use of tourniquets during surgery. In addition, if a postoperative ischemia is suspected, it is necessary to perform emergent vascular reconstructive surgery immediately.

Keywords

Total knee arthroplasty Arterial bypass surgery Thrombosis Acute arterial occlusion 
This is a preview of subscription content, log in to check access.

Notes

Conflict of interest statement

No funds were received in support of this study.

References

  1. 1.
    Rand JA (1987) Vascular complications of total knee arthroplasty: report of the three cases. J Artroplasty 2:89–93CrossRefGoogle Scholar
  2. 2.
    Turner NS, Pagnano MW, Sim FH (2001) Total knee arthroplasty after ipsilateral peripheral arterial bypass graft. J Arthroplasty 16:317–321CrossRefPubMedGoogle Scholar
  3. 3.
    Dossche L, Brabants KAM (2002) Arterial graft occlusion after total knee arthroplasty treated by prompt thrombectomy. J Arthroplasty 17:670–672CrossRefPubMedGoogle Scholar
  4. 4.
    DeLaurentis DA, Levitsky KA, Booth RE et al (1992) Arterial and ischemic aspects of total knee arthroplasty. Am J Surg 164:237–240CrossRefPubMedGoogle Scholar
  5. 5.
    Calligaro KD, Dougherty MJ, Ryan S et al (2003) Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg 38:1170–1177CrossRefPubMedGoogle Scholar
  6. 6.
    Rush JH, Vidovich JD, Johnson MA (1987) Arterial complications of total knee replacement. J Bone Joint Surg Br 69-B:400–402Google Scholar
  7. 7.
    Hagan PF, Kaufman EE (1990) Vascular complications of knee arthroplasty under tourniqut:a case report. Clin Orthop 257:159–161PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Yuichiro Maruyama
    • 1
  • Toshihide Ochiai
    • 1
  • Shinichiro Kobayasi
    • 1
  • Kazuo Kaneko
    • 2
  1. 1.Department of Orthopaedic SurgeryJuntendo University Urayasu HospitalUrayasuJapan
  2. 2.Department of Orthopaedic SurgeryJuntendo University Shizuoka HospitalIzunokuniJapan

Personalised recommendations