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Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty
Knee replacement has demonstrated to be a cost-effective treatment for severe knee osteoarthritis. Nevertheless, perioperative complications may occur, including recurrent hemarthrosis reaching an incidence between 0.3 and 1.6%. Success rate after conservative treatment has been reported to be above...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915123/ https://www.ncbi.nlm.nih.gov/pubmed/31885988 http://dx.doi.org/10.1155/2019/8374709 |
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author | Barrientos, Cristian Barahona, Maximiliano Cermenati, Tomas Wulf, Rodrigo Hinzpeter, Jaime |
author_facet | Barrientos, Cristian Barahona, Maximiliano Cermenati, Tomas Wulf, Rodrigo Hinzpeter, Jaime |
author_sort | Barrientos, Cristian |
collection | PubMed |
description | Knee replacement has demonstrated to be a cost-effective treatment for severe knee osteoarthritis. Nevertheless, perioperative complications may occur, including recurrent hemarthrosis reaching an incidence between 0.3 and 1.6%. Success rate after conservative treatment has been reported to be above 80%, but in case of recurrence, computed tomography angiography, magnetic resonance angiography, and Doppler ultrasound have been used to conduct the diagnosis. Arthroscopy or selective embolization is used for treatment depending on the etiology of the bleeding. Open surgery is performed in the rare cases of failure of the above alternatives. The patient consulted seven months after total knee arthroplasty with sudden pain in the medial side of the knee. Infection was ruled out, and arthrocentesis shows hemarthrosis. Successful selective embolization of medial superior and lateral superior genicular artery was performed. After two years, the patients report 92 points in the Forgotten joint score, 0 in Womac pain, 1 in Womac stiffness, and 3 in Womac functional score. |
format | Online Article Text |
id | pubmed-6915123 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-69151232019-12-29 Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty Barrientos, Cristian Barahona, Maximiliano Cermenati, Tomas Wulf, Rodrigo Hinzpeter, Jaime Case Rep Orthop Case Report Knee replacement has demonstrated to be a cost-effective treatment for severe knee osteoarthritis. Nevertheless, perioperative complications may occur, including recurrent hemarthrosis reaching an incidence between 0.3 and 1.6%. Success rate after conservative treatment has been reported to be above 80%, but in case of recurrence, computed tomography angiography, magnetic resonance angiography, and Doppler ultrasound have been used to conduct the diagnosis. Arthroscopy or selective embolization is used for treatment depending on the etiology of the bleeding. Open surgery is performed in the rare cases of failure of the above alternatives. The patient consulted seven months after total knee arthroplasty with sudden pain in the medial side of the knee. Infection was ruled out, and arthrocentesis shows hemarthrosis. Successful selective embolization of medial superior and lateral superior genicular artery was performed. After two years, the patients report 92 points in the Forgotten joint score, 0 in Womac pain, 1 in Womac stiffness, and 3 in Womac functional score. Hindawi 2019-12-05 /pmc/articles/PMC6915123/ /pubmed/31885988 http://dx.doi.org/10.1155/2019/8374709 Text en Copyright © 2019 Cristian Barrientos et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Barrientos, Cristian Barahona, Maximiliano Cermenati, Tomas Wulf, Rodrigo Hinzpeter, Jaime Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty |
title | Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty |
title_full | Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty |
title_fullStr | Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty |
title_full_unstemmed | Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty |
title_short | Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty |
title_sort | successful selective embolization for recurrent hemarthrosis after knee arthroplasty |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915123/ https://www.ncbi.nlm.nih.gov/pubmed/31885988 http://dx.doi.org/10.1155/2019/8374709 |
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