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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2013

01-12-2013 | Knee

A case of the geniculate artery pseudoaneurysm after total knee arthroplasty: search for preventive measures by evaluation of arterial anatomy of cadaver knees

Authors: Mitsuaki Noda, Yasuhiro Saegusa, Masayasu Takahashi, Yuzo Hirata

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2013

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Abstract

This article presents an 80-year-old man with pseudoaneurysm of the inferolateral geniculate artery after total knee arthroplasty (TKA). The aim is to report this case and review possible preventive methods of pseudoaneurysm formation after TKA by investigating the relationship between knee arterial anatomy and the TKA procedure. Cadaveric evaluation demonstrates that the superomedial and inferomedial geniculate arteries are difficult to visualize. The anatomical position of the inferolateral artery makes it vulnerable to the surgical procedure during cutting of the tibia or while retracting soft tissue from the tibial edge, especially with minimal invasive surgery. In conclusion, careful subperiosteal release around the geniculate arteries is recommended. However, early recognition of pseudoaneurysm formation is even more essential than prevention.
Level of evidence Therapeutic study, Level IV.
Literature
1.
Clarke HD, Scott WN, Insall JN et al (2006) Anatomy. In: Scott WN (ed) Surgery of the knee, 4th edn. Churchill Livingstone, New York, pp 3–66
2.
Dennis DA, Neumann RD, Toma P, Rosenberg G, Mallory TH (1987) Arteriovenous fistula with false aneurysm of the inferior medial geniculate artery. A complication of total knee arthroplasty. Clin Orthop Relat Res 222:255–260PubMed
3.
Julien TP, Gravereaux E, Martin S (2012) Superior medial geniculate artery pseudoaneurysm after primary total knee arthroplasty. J Arthroplasty 27(2):e13–e16PubMedCrossRef
4.
Moran M, Hodgkinson J, Tait W (2002) False aneurysm of the superior lateral geniculate artery following total knee replacement. Knee 9(4):349–351PubMedCrossRef
5.
Noorpuri BS, Maxwell-Armstrong CA, Lamerton AJ (1999) Pseudo-aneurysm of a geniculate collateral artery complicating total knee replacement. Eur J Vasc Endovasc Surg 18(6):534–535PubMedCrossRef
6.
O’Connor JV, Stocks G, Crabtree JD Jr, Galasso P, Wallsh E (1998) Popliteal pseudoaneurysm following total knee arthroplasty. J Arthroplasty 13(7):830–832PubMedCrossRef
7.
Pai VS (1999) Traumatic aneurysm of the inferior lateral geniculate artery after total knee replacement. J Arthroplasty 14(5):633–634PubMedCrossRef
8.
Rukavina A, Kerkhoffs GM, Schneider P, Kuster MS (2010) Recurrent hemarthrosis after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 18(7):898–900PubMedCrossRef
9.
Sharma H, Singh GK, Cavanagh SP, Kay D (2006) Pseudoaneurysm of the inferior medial geniculate artery following primary total knee arthroplasty: delayed presentation with recurrent haemorrhagic episodes. Knee Surg Sports Traumatol Arthrosc 14(2):153–155PubMedCrossRef
10.
Tria AJ Jr (2004) Minimally invasive total knee arthroplasty: the importance of instrumentation. Orthop Clin N Am 35(2):227–234CrossRef
11.
Vail TP, Lang JE (2006) Surgical techniques and instrumentation in total knee arthroplasty. In: Scott WN (ed) Surgery of the knee, 4th edn. Churchill Livingstone, New York, pp 1455–1521
12.
Verma R, Seymour R, Hockings M (2009) Endovascular coil embolization of pseudoaneurysm of a branch of the anterior tibial artery following total knee replacement. J Knee Surg 22(3):269–271PubMedCrossRef
Metadata
Title
A case of the geniculate artery pseudoaneurysm after total knee arthroplasty: search for preventive measures by evaluation of arterial anatomy of cadaver knees
Authors
Mitsuaki Noda
Yasuhiro Saegusa
Masayasu Takahashi
Yuzo Hirata
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2109-0

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