Pseudoaneurysm of the Distal Thigh After Manipulation of a Total Knee Arthroplasty

Chris Sambaziotis, Mickey Plymale, Andrew Lovy, Kevin O'Halloran, Kenneth McCulloch, David S. Geller

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The authors describe a unique complication after manipulation of a stiff total knee arthroplasty in a 47-year-old man. Four days after undergoing manipulation under anesthesia (MUA), the patient presented with increasing pain and swelling of the affected knee and decreased hemoglobin/hematocrit. Computed tomographic angiogram revealed a ruptured pseudoaneurysm of a segmental branch of the deep femoral artery that was treated with embolization and anterior thigh compartment fasciotomy. Although many complications of MUA have been described, we present a novel finding of a ruptured pseudoaneurysm. Ruptured pseudoaneurysm should be included in the differential diagnosis whenever a patient presents with pain and swelling of the thigh after MUA given its potential morbidity.

Original languageEnglish (US)
JournalJournal of Arthroplasty
Volume27
Issue number7
DOIs
StatePublished - Aug 2012

Fingerprint

Knee Replacement Arthroplasties
False Aneurysm
Thigh
Anesthesia
Pain
Femoral Artery
Hematocrit
Knee
Angiography
Hemoglobins
Differential Diagnosis
Morbidity

Keywords

  • Knee
  • Manipulation under anesthesia
  • Pseudoaneurysm
  • Stiffness
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Pseudoaneurysm of the Distal Thigh After Manipulation of a Total Knee Arthroplasty. / Sambaziotis, Chris; Plymale, Mickey; Lovy, Andrew; O'Halloran, Kevin; McCulloch, Kenneth; Geller, David S.

In: Journal of Arthroplasty, Vol. 27, No. 7, 08.2012.

Research output: Contribution to journalArticle

Sambaziotis, Chris ; Plymale, Mickey ; Lovy, Andrew ; O'Halloran, Kevin ; McCulloch, Kenneth ; Geller, David S. / Pseudoaneurysm of the Distal Thigh After Manipulation of a Total Knee Arthroplasty. In: Journal of Arthroplasty. 2012 ; Vol. 27, No. 7.
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