title: Arterial injury in total knee arthroplasty.
abstract: Arterial complications associated with knee arthroplasty are relatively rare, although probably underreported, complications of knee arthroplasty that carry a risk of significant morbidity. Thorough preoperative assessment and close liaison with a vascular surgeon, combined with an appreciation of common anatomical variants or distorted anatomy, may help prevent both thromboembolic and direct injuries from occurring. Clinical features of arterial complications following knee arthroplasty may vary significantly from acute hemorrhage or ischemia in the immediate postoperative period to chronic pain and swelling presenting even months following the procedure. There is potential for diagnostic confusion and delay that may adversely affect outcome. Early diagnosis along with vascular surgical review and intervention is key to successful management.
authors.affiliation: Stockport NHS Foundation Trust, Stepping Hill Hospital, Stockport, Manchester, UK.
authors.forename: Usman
authors.initials: U
authors.lastname: Butt
authors.forename: Rohit
authors.initials: R
authors.lastname: Samuel
authors.forename: Ajay
authors.initials: A
authors.lastname: Sahu
authors.forename: Imran S
authors.initials: IS
authors.lastname: Butt
authors.forename: David S
authors.initials: DS
authors.lastname: Johnson
authors.forename: Philip G
authors.initials: PG
authors.lastname: Turner
mesh_terms: D001158:Arteries / Q000293:injuries*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D018570:Risk Assessment; D057772:Vascular System Injuries / Q000453:epidemiology*