medigraphic.com

2013, Number 5

<< Back Next >>

Cir Cir 2013; 81 (5)

Vascular injury as a complication of knee arthroscopic surgery. Report of two cases and review of the literature

Enríquez-Vega ME, Cruz-Castillo JE, Pacheco-Pittaluga E, Solorio-Rosette H, Linarte-Márquez L, Iturburu-Enríquez A

Language: Spanish
References: 27
Page: 454-458
PDF size: 610.70 Kb.


ABSTRACT

Background: Arthroscopy of the knee is a surgical performed World-wid considered extremely safe, rates of complication ranging from 0.56 to 8.2%. Vascular complications are even more rare (0.0032%), and generally related to the popliteal artery injury.
Clinical case: We are reporting the cases of two patients who had unsuspected vascular complications after arthroscopy. Both cases presented vascular injuries after elective knee arthroscopy. First case was a patient with thrombosed pseudoaneurysm in the popliteal artery and total section of the popliteal vein, unfortunately the diagnosis was done 72 hrs after knee arthroscopy and finally required amputation, the 2nd case presented popliteal arteriovenous fistula, the diagnosis was done 3 weeks after knee arthroscopy, the patient was successfully treated by resection of the fistula and direct repair of the artery and vein.
Conclusions: Although extremely infrequent, the vascular injury after knee arthroscopy should be remembered as a surgical complication, a low index of suspicion may have caused an unfortunate and untimely delay in diagnosis and treatment with potential risk of leg amputation and death.


REFERENCES

  1. Franklin JA, Brigham D, Bogey WM, Powell CS. Treatment of iatrogenic false aneurysms. J Am Coll Surg 2003;197:293-301.

  2. Giswold ME, Landry GJ, Taylor LM, Moneta GL. Iatrogenic arterial injury is an increasingly important cause of arterial trauma. Am J Surg 2004;187:590-593.

  3. Small NC, Committee on Complications of the Arthroscopy Association of North America. Complications in arthroscopy: The knee and other joints. Results of a national survey Arthroscopy 1986;2:253-258.

  4. Sherman OH, Fox JM, Snyder SJ, Del Pizzo W, Friedman MJ, Ferkel RD, et al. Arthroscopy “no problem surgery”. An analysis of complications in two thousand six hundred and forty cases. J Bone Joint Surg Am 1986;68:256-265.

  5. Small NC. Complications in arthroscopic surgery of the knee and shoulder. Arthroscopy 1993;16:985-988.

  6. Jackson RW. Arthroscopic Surgery. J Bone and Joint Surg 1983;65:416-420.

  7. Cohen B, Griffiths L, Dandy DJ. Arteriovenous fistula after arthroscopic synovectomy in a patient with haemophilia. Arthroscopy 1992;8:373-374.

  8. De Lee J. Complications of arthroscopy and arthroscopic surgery: Results of a national survey. Arthroscopy 1985;1:214-220.

  9. Lee KB, Song SY, Kwon DJ, Shin J, Paik HS. Pseudoaneurysm of the Medial Superior Genicular Artery after Arthroscopic Partial Meniscectomy Clinics in Orthopedic Surgery 2009;1(3) 173-175. (consultada 2012 Abril 20). Disponible en: 10.4055/cios.2009.1.3.173

  10. Beck DE, Robison JG, Hallett JW Jr. Popliteal artery pseuoaneurysm following arthroscopy. J Trauma 1986;26:87-89.

  11. Butt Usman, Samuel Rohit, Sahu Ajay, Butt Imram S, Johnson David S, Turner Philip G. Arterial Injury in Total Knee Arthroplasty. J Arthroplasty 2010;25:1311-1318.

  12. Vincent GM, Stanish WD. False aneurysm after arthroscopic meniscectomy. A report of two cases. J Bone Joint Surg Am 1990;72:770-772.

  13. Dos Santos Pereira Jr E, Mestriner LA, Dos Santos Pereira E, Pérez Dominguez R, Alves Cardoso MP. Pseudoaneurysm de artéria genicular após cirugia artroscópica de joelho: Relato de dois casos. Acta Ortop Bras 2010;18:104-106.

  14. Calligaro KD, Dougherty MJ, Ryan S, Booth RE. Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg 2003;38:1170-1177.

  15. Bennett FS, Born CT, Alexander J, Crincoli M. False aneurysm of the medial inferior genicular artery after intramedullary nailing of the tibia. J Orthop Trauma 1994;8:73-75.

  16. Omary R, Stulberg SD, Vogelzang RL. Therapeutic embolization of false aneurysms of the superior medial genicular artery afther operations on the knee. A report of two cases. J Bone Joint Surg Am 1991;73:1257-1259.

  17. Puig J, Perendreu J, Fortuño JR, Branera J, Falcó J. Transarterial Embolization of an Inferior Genicular Artery Pseudoaneurysm with Arteriovenous Fistula after Arthroscopy. Korean J Radiol 2007;8:173-175.

  18. Sarrosa EA, Ogilvie-Harris DJ. Pseudoaneurysm as a complication of knee arthroscopy. Arthroscopy 1997;13:644-645.

  19. Evans JD, de Boer MT, Mayor P, Rees D, Guy AJ. Pseudoaneurysm of the medial inferior genicular artery following anterior cruciate ligament reconstruction. Ann R Coll Surg Engl 2000;82:182-184.

  20. Lafontaine M, Khoury A. False aneurysm of the knee after arthroscopy. Acta Orthop Belg 1997;63:215-217.

  21. Carr JB, Jansson KA. An unusual case of vascular dysplasia related to knee arthroscopy. Arthroscopy. J Arthroscopic Related 2001;17:196- 199.

  22. Armato DP, Czamecki D. Geniculate artery pseudoaneurysm: A rare complication of arthroscopic surgery. Am J Roentgenol 1990;155:659.

  23. Guy RJ, Spalding TJ, Jarvis LJ. Pseudoaneurysm after arthroscopy of the knee. A case report. Clin Orthop Relat Res 1993;295:214-217.

  24. Manning MP, Marshall JH. Aneurysm after arthroscopy. J Bone Joint Surg Br 1987;69-B(1):151.

  25. Dinh A, Brunet AP, Maatouk M, Diebold S, Favoli P. Arterial complications of arthroscopic meniscectomies. Apropos of three cases. Ann Chir 1993;47:547-552.

  26. Aldrich D, Anschuetz R, Lopresti C, Fumich M, Pitluk H, O’Brien W. Pseudo aneurysm complicating knee arthroscopy. Arthroscopy: J Arthroscopic Related Surgery 1995;11:229-230.

  27. Audenaert E, Vuylsteke M, Lissens P, Verhelst M, Verdonk R. Pseudoaneurysm complicating knee arthroscopy. A case report. Acta Orthop Belg 2003;69:382-384.




2020     |     www.medigraphic.com