Anterior tibial artery pseudoaneurysm secondary to articulating spacer use for infected knee arthroplasty: A case report.
International journal of surgery case reports, cilt.119, ss.109767, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 119
- Basım Tarihi: 2024
- Doi Numarası: 10.1016/j.ijscr.2024.109767
- Dergi Adı: International journal of surgery case reports
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE
- Sayfa Sayıları: ss.109767
- Anahtar Kelimeler: Anterior tibial artery, Articulating spacer, Case report, Knee arthroplasty, Pseudoaneurysm, Vascular injury
- İstanbul Üniversitesi Adresli: Evet
Özet
Introduction: Neurovascular compromise following primary or revision total knee arthroplasty is a rare but severe complication. To the best of our knowledge, there have been reports of pseudoaneurysm of the popliteal artery following primary and revision; however, an anterior tibial artery pseudoaneurysm with articulating spacer has not been described yet. Case presentation: We introduce a rare case of anterior tibial artery pseudoaneurysm and concomitant foot drop caused by an articulating spacer in a two-stage revision for infected knee replacement. Displacement of the articular spacer was observed on knee x-rays. Hematoma and pseudoaneurysm were detected. The patient was operated on urgently, and a pseudoaneurysm originating from the anterior tibial artery was intraoperatively observed. Discussion: Vascular complications following TKA are rare but could be limb-threatening and even life-threatening. If postoperative displacement of the articulating spacer is observed with neurovascular symptoms, orthopedic surgeons should be alerted to the possibility of a pseudoaneurysm. Conclusion: Although rare, anterior tibial artery pseudoaneurysm should be considered among vascular injuries in revision knee arthroplasty cases.