Open repair of intraoperative popliteal artery injury during total knee arthroplasty in a patient with severe hemophilia A: A case report and literature review.

ABSTRACT:

Rationale

Arterial injuries during total knee arthroplasty (TKA) though rare may occur. Hemophilia may further challenge the management of such injury.

Patient concerns

A 48-year-old male patient with severe hemophilia type A and stiff knee arthropathy underwent bilateral TKAs. Left popliteal artery injury was detected at the end of the left TKA.

Diagnoses

Urgent angiography confirmed the diagnosis of the left popliteal artery transection.

Interventions

With clotting factor VIII replacement treatment, open repair was performed by end-to-end vascular bypass with the autograft of the large saphenous vein. No anticoagulant and antiplatelet treatment was administered postoperatively. Doses of the factor VIII were decreased step by step postoperatively.

Outcomes<

SUBMITTER: Feng B 

PROVIDER: S-EPMC5704885 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature