Open AccessAcute popliteal thrombus following total knee arthroplasty
Author(s) -
Nicholas E. Runge,
Lauren Hollifield,
Margaret W. Arnold,
Julius K. Oni
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000022500
Subject(s) - medicine , popliteal artery , thrombus , surgery , embolectomy , body mass index , total knee arthroplasty , past medical history , arthroplasty , pulmonary embolism , medical history
We report the youngest documented patient (38 years old) to develop an acute popliteal artery thrombus following primary total knee arthroplasty (TKA). Patient Concerns: The patient presented for an elective TKA secondary to posttraumatic arthritis. Past medical history included a tibial plateau fracture, two knee arthroscopies and an elevated body mass index (37.53). A right TKA was performed with no intraoperative complications. Two hours postoperatively, the right foot was poikilothermic and lacking dorsalis pedal pulse. Diagnosis: Popliteal artery thrombus confirmed by angiogram and venous duplex. Interventions: Immediate vascular surgery consult and subsequent embolectomy. Outcomes: At 1 year postoperatively, the patient is doing well with no further complications. Conclusion: Due to the lack of significant past medical history putting this patient at risk, future research should focus on prior trauma, age, and BMI as risk factors, specifically in patients undergoing TKA.