Therapeutic embolization in the treatment of recurrent haemarthrosis following knee arthroplasty.

Abstract:

:Recurrent spontaneous haemarthrosis after knee arthroplasty occurs in less than 1% of cases, commonly thought to be the result of impingement of hypertrophic vascular synovium or fat pads, and exacerbated by anti-coagulation or anti-platelet therapy. Traditional treatment comprises an initial period of rest followed by open or arthroscopic washout, and by synovectomy if bleeding recurs or fails to settle. We present three cases of recurrent haemarthrosis following knee arthroplasty, which were successfully treated by angiography and feeding vessel coil embolization. An injury to one of the genicular arteries was identified as the cause of bleeding in all three cases; one manifest as a traumatic arteriovenous fistula. Bleeding ceased in all cases without recurrence (follow-up period 6 months-5 years, median of 2 years). Endovascular treatment offers a minimally invasive treatment option in selected cases of recurrent post-operative haemarthrosis.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Tat-Sing Law M,McClure DN

doi

10.1111/j.1445-2197.2010.05244.x

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

247-9

issue

4

eissn

1445-1433

issn

1445-2197

pii

ANS5244

journal_volume

80

pub_type

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