Abstract
Throughout a clinical observation, we report a case of false aneurysm of tibial anterior artery after a total right knee arthroplasty in a 73-year-old woman. This case is characterized by the location of false aneurysm. In addition, the clinical symptoms are uncommon and hidden by the appearance of a hematoma in the knee with an embolic pulmonary context. The ultrasonographic exam and arteriography allow us to confirm the diagnosis at the fifth week after the operation. The latter arteriography allows us also to achieve a percutaneous embolization and to control the efficiency of the treatment. By this observation, we insist upon the difficulties and the late diagnosis of this uncommon complication, and we discuss its ways of treatment.
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Davies AJ, Roberts DE (1999) A complication following a total knee arthroplasty. Br J Radiol 72(855):317–318
Ibrahim M, Booth RE Jr, Clark TW (2004) Embolization of traumatic pseudoaneurysms after total knee arthroplasty. J Arthroplasty 19(1):123–128
O’Connor JV, Stocks G, Crabtree JD Jr, Galasso P, Wallsh E (1998) Popliteal pseudoaneurysm following total knee arthroplasty. J Arthroplasty 13(7):830–832
Gacon G, Lyonnet C (2003) False aneurysm of the popliteal artery following total knee replacement. Report of one case and case review of 8 cases of the literature. Ann Orthop Ouest 35:167–174
Cron J, Du Boullay C, Carrie F, Delgeilh M, Boccardo JP, Giraud C (2002) Intravascular stenting of two false aneurysms after total knee raplacement in a hemophilic patient. Angeiologie 54(4):73–77
Pai VS (1999) Traumatic aneurysm of the inferior lateral geniculate artery after total knee replacement. J Arthroplasty 14(5):633–634
Plagnol P, Diard N, Bruneteau P, Roncheau V (2001) Case report: pseudoaneurysm of popliteal artery complicating a total knee replacement: a successful percutaneous endovascular treatment. Eur J Vasc Endovasc Surg 21(1):81–83
Vaidhyanath R, Blanshard KS (2003) Case report: insertion of a covered stent for treatment of a popliteal artery pseudoaneurysm following total knee arthroplasty. Br J Radiol 76(903):195–198
Karkos CD, Thomson GJ, D’Souza SP, Prasad V (2000) False aneurysm of the popliteal artery: a rare complication of total knee replacement. Knee Surg Sports Traumatol Arthrosc 8(1):53–55
Kirschner S, Konrad T, Weil EJ, Buhler M (2004) False aneurysm of the lateral superior genicular artery. A complication after the implantation of a knee prosthesis. Orthopade 33(7):841–845
Stanley D, Cumberland DC, Elson RA (1989) Embolisation for aneurysm after knee replacement. Brief report. J Bone Joint Surg Br 71:138
Maleux G, Hendrickx S, Vaninbroukx J et al (2003) Percutaneous injection of humain thrombin to treat iatrogenic femoral pseudoaneurysms: short and midterm ultrasound follow-up. Eur Radiol 13:209
D’Angelo F, Carrafiello GP, Lagana D et al (2007) Popliteal artery pseudoaneurysm after a revision of total knee arthroplasty: endovascular treatment with a stent graft. Emerg Radiol 13(6): 323–327
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Ahajjam, M.A., Ayadi, D., Wery, D. et al. Percutaneous embolization of a false aneurysm of the tibial anterior artery after total knee arthroplasty. Eur J Orthop Surg Traumatol 18, 391–393 (2008). https://doi.org/10.1007/s00590-008-0315-8
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DOI: https://doi.org/10.1007/s00590-008-0315-8