Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2010

01-07-2010 | Knee

Thromboembolic complications after bilateral knee arthroscopic surgery patients

Authors: Jong-Hun Ji, Mohamed Shafi, Jin-Hyung Sung, Chang-Yun Moon, Sang-Eun Park, Yeon-Soo Lee

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2010

Login to get access

Abstract

Deep venous thrombosis and pulmonary embolism are rare complications after arthroscopic knee procedures. Most of the cases of thromboembolic complications reported to have involved unilateral knee arthroscopic patients; here, we report the cases of patients with bilateral knee arthroscopy. The patients were treated with anticoagulants and thrombolytics and subjected to necessary laboratory monitoring. All the patients recovered well after the treatment and were symptom-free during a 6-month follow-up. The purpose of this article was to increase the awareness of knee arthroscopists of this complication.
Literature
1.
go back to reference Demers C, Marcoux S, Ginsberg JS, Laroche F, Cloutier R, Poulin J (1998) Incidence of venographically proved deep vein thrombosis after knee arthroscopy. Arch Intern Med 158:47–50CrossRefPubMed Demers C, Marcoux S, Ginsberg JS, Laroche F, Cloutier R, Poulin J (1998) Incidence of venographically proved deep vein thrombosis after knee arthroscopy. Arch Intern Med 158:47–50CrossRefPubMed
2.
go back to reference Delis KT, Hunt N, Strachan RK, Nicolaides AN (2001) Incidence, natural history and risk factors of deep vein thrombosis in elective knee arthroscopy. Thromb Haemost 86:817–821PubMed Delis KT, Hunt N, Strachan RK, Nicolaides AN (2001) Incidence, natural history and risk factors of deep vein thrombosis in elective knee arthroscopy. Thromb Haemost 86:817–821PubMed
3.
go back to reference Davis FM, Laurenson VG, Gillespie WJ, Wells JE, Foate J, Newman E (1989) Deep vein thrombosis after total hip replacement. A comparison between spinal and general anesthesia. J Bone Joint Surg Br 71:181–185PubMed Davis FM, Laurenson VG, Gillespie WJ, Wells JE, Foate J, Newman E (1989) Deep vein thrombosis after total hip replacement. A comparison between spinal and general anesthesia. J Bone Joint Surg Br 71:181–185PubMed
4.
go back to reference Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, Colwell CW, American College of Chest Physicians (2008) Prevention of venous thromboembolism: American College of chest physicians evidence-based clinical practice guidelines (8th edn.). Chest 133(6 Suppl):381S–453SCrossRefPubMed Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, Colwell CW, American College of Chest Physicians (2008) Prevention of venous thromboembolism: American College of chest physicians evidence-based clinical practice guidelines (8th edn.). Chest 133(6 Suppl):381S–453SCrossRefPubMed
5.
go back to reference Hirota K, Hashimoto H, Kabara S, Tsubo T, Sato Y, Ishihara H, Matsuki A (2001) The relationship between pneumatic tourniquet time and the amount of pulmonary emboli in patients undergoing knee arthroscopic surgeries. Anesth Analg 93:776–780CrossRefPubMed Hirota K, Hashimoto H, Kabara S, Tsubo T, Sato Y, Ishihara H, Matsuki A (2001) The relationship between pneumatic tourniquet time and the amount of pulmonary emboli in patients undergoing knee arthroscopic surgeries. Anesth Analg 93:776–780CrossRefPubMed
6.
go back to reference Jaureguito JW, Greenwald AE, Wilcox JF, Paulos LE, Rosenberg TD (1999) The incidence of deep venous thrombosis after arthroscopic knee surgery. Am J Sport Med 27:707–710 Jaureguito JW, Greenwald AE, Wilcox JF, Paulos LE, Rosenberg TD (1999) The incidence of deep venous thrombosis after arthroscopic knee surgery. Am J Sport Med 27:707–710
7.
go back to reference Jarrett PM, Ritchie IK, Albadran L, Glen SK, Bridges AB, Ely M (2004) Do thigh tourniquets contribute to the formation of intra-operative venous emboli? Acta Orthop Belg 70:253–259PubMed Jarrett PM, Ritchie IK, Albadran L, Glen SK, Bridges AB, Ely M (2004) Do thigh tourniquets contribute to the formation of intra-operative venous emboli? Acta Orthop Belg 70:253–259PubMed
8.
go back to reference Kieser C (1992) A review of the complications of arthroscopic knee surgery. Arthroscopy 8:79–83PubMed Kieser C (1992) A review of the complications of arthroscopic knee surgery. Arthroscopy 8:79–83PubMed
9.
go back to reference Michot M, Conen D, Holtz D et al (2002) Prevention of deep- vein thrombosis in ambulatory arthroscopic knee surgery: a randomized trial of prophylaxis with low-molecular weight heparin. Arthroscopy 18:257–263PubMed Michot M, Conen D, Holtz D et al (2002) Prevention of deep- vein thrombosis in ambulatory arthroscopic knee surgery: a randomized trial of prophylaxis with low-molecular weight heparin. Arthroscopy 18:257–263PubMed
10.
go back to reference Navarro-Sanz A, Fernandez-Ortega JF (2004) Fatal pulmonary embolism after knee arthroscopy. Am J Sports Med 32:525–528CrossRefPubMed Navarro-Sanz A, Fernandez-Ortega JF (2004) Fatal pulmonary embolism after knee arthroscopy. Am J Sports Med 32:525–528CrossRefPubMed
11.
go back to reference Pola E, Flex A, Papaleo P, Gaetani E, Delcogliano A, Pola P (2005) Deep venous thrombosis and pulmonary embolism after knee arthroscopy in athletes carrying the thrombophilic factor lupus anticoagulant. Arthroscopy 21:103–107PubMedCrossRef Pola E, Flex A, Papaleo P, Gaetani E, Delcogliano A, Pola P (2005) Deep venous thrombosis and pulmonary embolism after knee arthroscopy in athletes carrying the thrombophilic factor lupus anticoagulant. Arthroscopy 21:103–107PubMedCrossRef
12.
go back to reference Ramos J, Perrotta C, Badariotti G, Berenstein G (2008) Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. Cochrane Database Syst Rev 8(4):CD005259 (Review) Ramos J, Perrotta C, Badariotti G, Berenstein G (2008) Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. Cochrane Database Syst Rev 8(4):CD005259 (Review)
13.
go back to reference Seon JK, Song EK, Yoon TR, Park SJ, Seo HY (2006) An unusual case of pulmonary embolism after arthroscopic meniscectomy. Arch Orthop Trauma Surg 126:641–643CrossRefPubMed Seon JK, Song EK, Yoon TR, Park SJ, Seo HY (2006) An unusual case of pulmonary embolism after arthroscopic meniscectomy. Arch Orthop Trauma Surg 126:641–643CrossRefPubMed
14.
go back to reference Stringer MD, Steadman CA, Hedges AR, Thomas EM, Morley TR, Kakkar VV (1989) Deep vein thrombosis after elective knee surgery: an incidence study in 312 patients. J Bone Joint Surg Br 71:492–497PubMed Stringer MD, Steadman CA, Hedges AR, Thomas EM, Morley TR, Kakkar VV (1989) Deep vein thrombosis after elective knee surgery: an incidence study in 312 patients. J Bone Joint Surg Br 71:492–497PubMed
15.
go back to reference Schippinger G, Wirnsberger GH, Obernosterer A, Babinski K (1998) Thromboembolic complications after arthroscopic knee surgery. Acta Orthop Scand 69:144–146CrossRefPubMed Schippinger G, Wirnsberger GH, Obernosterer A, Babinski K (1998) Thromboembolic complications after arthroscopic knee surgery. Acta Orthop Scand 69:144–146CrossRefPubMed
16.
go back to reference Williams JS Jr, Hulstyn MJ, Fadale PD, Lindy PB, Ehrlich MG, Cronan J, Dorfman G (1995) Incidence of deep vein thrombosis after arthroscopic knee surgery: a prospective study. Arthroscopy 11:701–705PubMedCrossRef Williams JS Jr, Hulstyn MJ, Fadale PD, Lindy PB, Ehrlich MG, Cronan J, Dorfman G (1995) Incidence of deep vein thrombosis after arthroscopic knee surgery: a prospective study. Arthroscopy 11:701–705PubMedCrossRef
17.
go back to reference Wirth T, Schneider B, Misselwitz F et al (2001) Prevention of venous thromboembolism after knee arthroscopy with low- molecular weight heparin (reviparin): results of a randomized controlled trial. Arthroscopy 17:393–399PubMedCrossRef Wirth T, Schneider B, Misselwitz F et al (2001) Prevention of venous thromboembolism after knee arthroscopy with low- molecular weight heparin (reviparin): results of a randomized controlled trial. Arthroscopy 17:393–399PubMedCrossRef
Metadata
Title
Thromboembolic complications after bilateral knee arthroscopic surgery patients
Authors
Jong-Hun Ji
Mohamed Shafi
Jin-Hyung Sung
Chang-Yun Moon
Sang-Eun Park
Yeon-Soo Lee
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2010
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-009-1025-4

Other articles of this Issue 7/2010

Knee Surgery, Sports Traumatology, Arthroscopy 7/2010 Go to the issue