PMID: 9526217Apr 4, 1998Paper

Vascular injuries in total knee arthroplasty. A review of the problem with special reference to the possible effects of the tourniquet

The Journal of Arthroplasty
S N KumarI Rawlins

Abstract

Considering the proximity of the major vascular structures to the back of the knee, vascular complications of total knee arthroplasty are relatively rare. A patient who developed acute vascular insufficiency immediately following a total knee arthroplasty is reported. This stimulated a survey of arterial complications encountered by members of the British Association for the Surgery of the Knee. The majority of surgeons still use a tourniquet but will modify their practice if there is anxiety about vascular status. The mechanism of injury to the vascular system is either direct trauma or thrombosis. The outcome following treatment after direct injury is extremely good. The outcome after thrombosis is extremely poor. There is no recorded case of thrombosis occurring when a tourniquet was not used. Whether all knee arthroplasties should be done without a tourniquet is discussed. Early intervention is vital if a vascular injury is suspected.

References

Aug 1, 1984·Archives of Surgery·C E McAuleyM W Webster

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Citations

Dec 17, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ta-Wei TaiChyun-Yu Yang
Mar 24, 2004·Medical Engineering & Physics·V CaseyJ A McEwen
Mar 20, 2003·The Journal of Surgical Research·Monica S Da SilvaUNKNOWN Surgeons of the Southern Association of Vascular Surgery
Oct 26, 2012·Plastic and Reconstructive Surgery·Samuel O PooreKarol A Gutowski
Aug 3, 2014·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Ill Ho ParkKwang Am Jung
Jun 24, 2015·Clinical Orthopaedics and Related Research·Douglas A DennisJennifer E Stevens-Lapsley
Aug 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ravikumar V Pydisetty, Robert M Gillies
Jul 10, 2013·Clinical Orthopaedics and Related Research·Rupesh TarwalaWilliam T Long
Jun 12, 2013·The Cochrane Database of Systematic Reviews·Kathryn A RigbyJonathan A Michaels
Jan 24, 2003·The Journal of Bone and Joint Surgery. American Volume·Khaled J SalehGideon Burstein
May 11, 2004·Foot & Ankle International·Amyn HajiJ K Vyas
Feb 28, 2020·JBJS Reviews·Kavin SundaramNicolas S Piuzzi
Jul 31, 2001·The Journal of the American Academy of Orthopaedic Surgeons·D E SmithB A Masri
Dec 12, 2003·The Journal of Bone and Joint Surgery. American Volume·Chun-Hsiung HuangHon-Ming Ma
Dec 3, 2013·The Bone & Joint Journal·K BernhoffM Björck
Dec 15, 2020·Journal of Orthopaedic Surgery and Research·Chao LuXuemeng Xu

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