Document Detail

Vascular complication of knee arthroplasty under tourniquet. A case report.
MedLine Citation:
PMID:  2379355     Owner:  NLM     Status:  MEDLINE    
An 80-year-old white male was treated with a right total knee arthroplasty after three years of incapacitating knee pain that did not respond to conservative therapy. A pneumatic tourniquet was placed around the right proximal thigh prior to surgery. Before applying the dressing, assessment of the right foot revealed an adequate vascular status. On the first postoperative morning, the popliteal and pedal pulses were absent. An arteriogram identified complete occlusion of the distal superficial femoral artery and popliteal artery down to and including the trifurcation. After a right femoral artery embolectomy, the pulses returned and the patient suffered no residual deficit from the arterial occlusion. The patient had a prior history of prostatic carcinoma and was taking diethylstilbestrol; these factors, along with age-associated atherosclerotic disease and the tourniquet application, created a favorable environment for such a rare complication. Factors that may compromise vascularity when using the pneumatic tourniquet must be given due consideration.
P F Hagan; E E Kaufman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-09-10     Completed Date:  1990-09-10     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  159-61     Citation Subset:  AIM; IM    
Department of Surgery, University of Kansas School of Medicine, Wichita.
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MeSH Terms
Aged, 80 and over
Embolism / etiology*,  surgery
Femoral Artery*
Knee Prosthesis*
Postoperative Complications / etiology
Tourniquets / adverse effects*

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