METHODS: We describe a 68-year-old woman with dislocation of total knee arthroplasty after falling from a height. She had a popliteal artery injury and a vascular bypass was performed in delay. The patient died of a second myocardial infarction 3.5 months after her first introduction to our center.
UNASSIGNED: Due to the prominent risk of vascular injuries after dislocation in TKA patients, we recommend performing vascular evaluations using CT angiography for all patients.
CONCLUSIONS: Any untreated vascular compromise in the setting of TKA dislocation may lead to devastating outcomes such as amputation and death.
方法:我们描述了一名68岁的女性,该女性从高处跌落后全膝关节置换术脱位。她有a动脉损伤,并且延迟进行了血管搭桥术。患者在首次进入我们中心3.5个月后死于第二次心肌梗塞。
■由于TKA患者脱位后血管损伤的突出风险,我们建议对所有患者使用CT血管造影进行血管评估.
结论:在TKA脱位的情况下,任何未经治疗的血管损害都可能导致破坏性的结果,如截肢和死亡。