Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury
Traumatic anterior dislocation of a total knee arthroplasty (TKA) is an extremely rare occurrence. There are only a few known cases of this type of dislocation which discuss the high risk of a neurovascular complication. This article describes a traumatic anterior dislocation of the TKA with a sever...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-08-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344121001163 |
| _version_ | 1818738523895758848 |
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| author | Tomas Novotny, MD, PhD Eliska Vanaskova, MD Jan Soukup, MD |
| author_facet | Tomas Novotny, MD, PhD Eliska Vanaskova, MD Jan Soukup, MD |
| author_sort | Tomas Novotny, MD, PhD |
| collection | DOAJ |
| description | Traumatic anterior dislocation of a total knee arthroplasty (TKA) is an extremely rare occurrence. There are only a few known cases of this type of dislocation which discuss the high risk of a neurovascular complication. This article describes a traumatic anterior dislocation of the TKA with a severe vascular lesion in a 75-year-old severely comorbid patient. Further complications led to the development of a compartment syndrome. Despite the repeated effort in performing a well-functioning anastomosis of the popliteal artery tear by the vascular surgeon, reperfusion of the lower extremity was not effective. Furthermore, multiorgan system failure due to the reperfusion syndrome evolved. This led to an above-knee amputation as a lifesaving procedure. Despite thorough intensive care therapy, the patient did not survive this complication. Presently there are no reported cases with such severe complications after the luxation of a previously well-functioning TKA leading to the death of the patient. |
| first_indexed | 2024-12-18T01:10:18Z |
| format | Article |
| id | doaj.art-8ba5d8ae1d2f4a99a74786ba6cab3766 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-18T01:10:18Z |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-8ba5d8ae1d2f4a99a74786ba6cab37662022-12-21T21:26:08ZengElsevierArthroplasty Today2352-34412021-08-0110171174Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular InjuryTomas Novotny, MD, PhD0Eliska Vanaskova, MD1Jan Soukup, MD2Corresponding author. Department of Orthopaedics, University J.E. Purkyně, Masaryk Hospital, Usti nad Labem, 40113, Czech Republic. Tel.: +420477113060.; Department of Orthopaedics, University J.E. Purkyně, Masaryk Hospital, Usti nad Labem, Czech RepublicDepartment of Orthopaedics, University J.E. Purkyně, Masaryk Hospital, Usti nad Labem, Czech RepublicDepartment of Orthopaedics, University J.E. Purkyně, Masaryk Hospital, Usti nad Labem, Czech RepublicTraumatic anterior dislocation of a total knee arthroplasty (TKA) is an extremely rare occurrence. There are only a few known cases of this type of dislocation which discuss the high risk of a neurovascular complication. This article describes a traumatic anterior dislocation of the TKA with a severe vascular lesion in a 75-year-old severely comorbid patient. Further complications led to the development of a compartment syndrome. Despite the repeated effort in performing a well-functioning anastomosis of the popliteal artery tear by the vascular surgeon, reperfusion of the lower extremity was not effective. Furthermore, multiorgan system failure due to the reperfusion syndrome evolved. This led to an above-knee amputation as a lifesaving procedure. Despite thorough intensive care therapy, the patient did not survive this complication. Presently there are no reported cases with such severe complications after the luxation of a previously well-functioning TKA leading to the death of the patient.http://www.sciencedirect.com/science/article/pii/S2352344121001163Total knee arthroplasty dislocationTotal knee arthroplasty traumaTotal knee arthroplasty neurovascular injuryReperfusion syndrome |
| spellingShingle | Tomas Novotny, MD, PhD Eliska Vanaskova, MD Jan Soukup, MD Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury Arthroplasty Today Total knee arthroplasty dislocation Total knee arthroplasty trauma Total knee arthroplasty neurovascular injury Reperfusion syndrome |
| title | Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury |
| title_full | Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury |
| title_fullStr | Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury |
| title_full_unstemmed | Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury |
| title_short | Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury |
| title_sort | rare case of traumatic anterior knee dislocation of total knee arthroplasty with a serious neurovascular injury |
| topic | Total knee arthroplasty dislocation Total knee arthroplasty trauma Total knee arthroplasty neurovascular injury Reperfusion syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2352344121001163 |
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