scholarly journals A case report of an anterior tibial artery pseudo-aneurysm open surgical management: A rare complication post total knee arthroplasty

2017 ◽  
Vol 37 ◽  
pp. 196-199 ◽  
Author(s):  
Kang Lie Darius Aw ◽  
Choon Chieh Tan ◽  
Jack Kian Ch'ng ◽  
Siew Ping Chng
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Surgical Management ◽  
Knee Arthroplasty ◽  
Rare Complication ◽  
Anterior Tibial Artery ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Pseudo Aneurysm ◽  
Total Knee

scholarly journals Fungal Prosthetic Joint Infection Following Total Knee Arthroplasty: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Baraa W Mafrachi ◽  
Ashraf H Al Debei ◽  
Farah M Al Muhtaseb ◽  
Jihad M Al Ajlouni ◽  
Yazan S Hammad
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Prosthetic Joint Infection ◽  
Rare Complication ◽  
Joint Infection ◽  
Prosthetic Joint ◽  
Total Knee

Introduction: Prosthetic joint infection (PJI) is a rare complication of total knee replacement (TKR), yet it is a serious and debilitating condition. Bacterial infection accounts for the majority of cases and fungal infection is estimated to cause 1% of all prosthesis infection. Case Report: This case presents a 60years female, who presented to our outpatient orthopedic clinic complaining of right knee pain, swelling, and hotness. The physical examination revealed redness, hotness, restricted range of movement, and tibial loosening, 9 months following TKR revision. Culture of the joint aspirate showed growth of “Candida parapsilosis” and second aspirate confirmed the diagnosis. The patient then underwent two stages revision surgery with placement of amphotericin B loaded cement, to maintain high local antifungal concentration in addition to decrease the side effects of amphotericinB infusion such as thrombophlebitis and the more serious systemic effect as nephrotoxicity. The post-operative course was uneventful, with gradual improvement and restoration of normal movement range. Conclusion: Fungal PJI is a rare complication of TKR, yet it results in severe debilitating symptoms and impairment of the patient functional capacity. Careful evaluation of the patient followed by a detailed workup is necessary for the identification of the underlying causative micro-organism. Two-stage revision surgery with antifungal loaded cement spacer and antifungal therapy currently is the standard of management. To the best of our knowledge, this is the first fungal PJI following total knee arthroplasty reported in Jordan. Keywords: Fungal prosthetic joint infection, fungal infection, total knee replacement, total knee replacement complication.

scholarly journals Iatrogenic Anterior Tibial Artery Pseudoaneurysm – A Rare Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Nishant D Goyal ◽  
Vinay Kumar Gautam ◽  
Vijay M Panchnadikar ◽  
Madhan Jeyaraman ◽  
Nikhil Valsangka ◽  
...  
Keyword(s):  
Case Report ◽  
Shaft Fracture ◽  
Anterior Tibial Artery ◽  
Artery Pseudoaneurysm ◽  
Tibia Shaft Fracture ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Pseudo Aneurysm ◽  
The Right ◽  
Tibia Shaft

Introduction: Interlocking tibia nail fixation for tibia shaft fracture treatment is one of the most commonest procedures performed in orthopedic trauma practices. We report one such case of a rare complication of anterior tibial artery (ATA) pseudo-aneurysm caused by the proximal coronal locking bolt performed by an unusual entry from lateral to medial side during shaft of tibia fracture fixation. Case Report: A 86- years old female sustained a road traffic accident and was diagnosed with a closed tibia shaft fracture of the right leg for which she underwent intramedullary interlocking nail IMIL nailing elsewhere. She presented to us three 3 weeks after primary surgery with persistent pain and swelling in the right leg proximally. We investigated and diagnosed her as having a pseudoaneurysm of the Anterior Tibial Artery on color Doppler and magnetic resonance imaging (MRI) angiography. The pseudoaneurysm of ATA was clipped without any complications. To avoid the rupture of the pseudoaneurysm during manipulation of nail and bolts, their positions were not changed as they were supporting the fracture well and the fracture was also not united at that time. Conclusion: Though Although interlocking nailing of tibia shaft fracture is a commonly performed procedure, it can lead to disastrous vascular complications if the procedure is not performed with utmost care. ATA injury by proximal locking bolts of the tibia nail mandates the need for reconsideration of the nail design with better screw hole positions. We recommend preferring standard AO manual instructions for proximal tibia locking bolt direction. Keywords: Pseudo-aneurysm, tibia nail, locking bolt, anterior tibial artery.

TRAUMATIC DISLOCATION (CAM JUMP) IN A MORBID OBESE POST TOTAL KNEE REPLACEMENT PATIENT: A CASE REPORT ON A RARE COMPLICATION IN FIELD OF TOTAL KNEE ARTHROPLASTY.

2021 ◽  
pp. 68-69
Author(s):  
Sai Kumar Reddy Mukkamalla ◽  
P. Yuvarajan
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Knee Arthroplasty ◽  
Closed Reduction ◽  
Rare Complication ◽  
Total Knee Replacement Patient ◽  
History Of ◽  
Total Knee ◽  
Morbid Obese

Dislocation after total knee arthroplasty is uncommon and more challenging if it occurs in morbid obese patients with multiple comorbid factors. Case Report: This is a case of a 70- year-old male patient with a BMI of 40 with known HTN, Ischemic Heart Disease presenting with posterior dislocation of his right knee post TKR in a posterior stabilized knee after 3 years without a history of trauma. Results: The patient underwent closed reduction under spinal anaesthesia and reduced under uoroscopic guidance. Range of movements were found to be satisfactory. The patient has been kept under a long knee brace and was encouraged to walk on POD-2. His Post-op 3 months follow up is uneventful. Conclusion: Identifyng the cause and closed reduction under uoroscopic guidance, stability, alignment, range of motion was found satisfactory. The patient can undergo closed reduction without any other procedure of choice.

scholarly journals Pseudoaneurysm of the superior lateral genicular artery: case report of a rare complication after total knee arthroplasty

2013 ◽  
Vol 7 (1) ◽  
pp. 15 ◽  
Author(s):  
Pramod Saini ◽  
Sanjay Meena ◽  
Rajesh Malhotra ◽  
Shivanand Gamanagatti ◽  
Vijay Kumar ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Knee Arthroplasty ◽  
Rare Complication ◽  
Genicular Artery ◽  
Total Knee

scholarly journals Anterior tibiofemoral dislocation after total knee arthroplasty: A case report and literature review

2021 ◽  
Author(s):  
Alejandro Almoguera-Martinez ◽  
Catarina Godinho-Soares ◽  
Valentín Calcedo Bernal ◽  
José-Antonio Pareja Esteban ◽  
Marta Garcia-Lopez ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Literature Review ◽  
Knee Arthroplasty ◽  
Total Knee
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