Above-knee amputation after recurrent dislocations of total knee arthroplasty
Journal
Journal of Arthroplasty
Journal Volume
18
Journal Issue
1
Pages
105-109
Date Issued
2003
Author(s)
Pao, J.-L.
Jiang, C.-C.
CHING-CHUAN JIANG
Abstract
Amputation after total knee arthroplasty (TKA) is an extremely rare but disastrous complication. Most of the reported cases resulted from refractory deep joint sepsis or perioperative vascular complications. We present a case of above-knee amputation resulting from vascular complications after recurrent dislocations of a TKA in a patient with underlying end-stage renal disease. The possible association between certain metabolic diseases and instability of TKA is discussed. In contrast to the high incidence of vascular complications after traumatic knee dislocation, popliteal artery injury after TKA dislocation is seldom encountered. The importance of careful evaluation and serial physical examinations to exclude the possibility cannot be overemphasized, however. When compromise of the circulation was recognized, emergent exploration of the popliteal fossa for repair of the vascular injury presented the best chance to save the limb. Copyright 2003, Elsevier Science (USA). All rights reserved.
Subjects
Amputation; Complication; Dislocation; End-stage renal disease; Popliteal artery injury; Total knee arthroplasty (TKA)
SDGs
Other Subjects
above knee amputation; adult; artery injury; article; case report; female; human; kidney failure; knee dislocation; knee osteoarthritis; knee radiography; popliteal artery; postoperative complication; recurrent dislocation; total knee replacement
Type
journal article