RESUMO
Arterial complications associated with knee arthroplasty are relatively rare, although probably underreported, complications of knee arthroplasty that carry a risk of significant morbidity. Thorough preoperative assessment and close liaison with a vascular surgeon, combined with an appreciation of common anatomical variants or distorted anatomy, may help prevent both thromboembolic and direct injuries from occurring. Clinical features of arterial complications following knee arthroplasty may vary significantly from acute hemorrhage or ischemia in the immediate postoperative period to chronic pain and swelling presenting even months following the procedure. There is potential for diagnostic confusion and delay that may adversely affect outcome. Early diagnosis along with vascular surgical review and intervention is key to successful management.
Assuntos
Artérias/lesões , Artroplastia do Joelho/efeitos adversos , Lesões do Sistema Vascular/epidemiologia , Humanos , Incidência , Medição de RiscoRESUMO
The authors present an case of a thumb metacarpophalangeal joint dislocation which was made complicated by the interposition of the sesamoid bone which required open reduction. The intact volar plate prevented closed reduction. The anatomy and surgical management of this unusual case is described.