Treatment of Recurrent Hemarthrosis after Total Knee Arthroplasty
- Author:
Ju Hyung YOO
1
;
Hyun Cheol OH
;
Sang Hoon PARK
;
Sanghyeon LEE
;
Yunjae LEE
;
Seong Hun KIM
Author Information
- Publication Type:Original Article
- Keywords: Knee; Arthroplasty; Hemarthrosis; Embolization
- MeSH: Angiography; Arthroplasty; Arthroplasty, Replacement, Knee; Bleeding Time; Hemarthrosis; Hemorrhage; Humans; Incidence; Joints; Knee; Methods; Rare Diseases; Recurrence; Retrospective Studies
- From:The Journal of Korean Knee Society 2018;30(2):147-152
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: The purpose of this study is to evaluate the incidence and treatment of recurrent hemarthrosis after total knee replacement (TKR). MATERIALS AND METHODS: Among a total of 5,510 patients who underwent TKR from March 2000 to October 2016, patients who had two or more bleeding 2 weeks after surgery were studied. Conservative treatments were performed for all cases with symptoms. In patients who did not respond to conservative treatment several times, embolization was performed. We retrospectively evaluated the postoperative bleeding time, bleeding frequency, treatment method, and outcome. RESULTS: Seventeen (0.3%) of the 5,510 patients developed recurrent hemarthrosis. Bleeding occurred at an average of 2 years 3 months after the operation. Joint aspiration was performed 3.5 times (range, 2 to 10 times) on average, and 14 cases (82.3%) were treated with conservative treatment. In 3 patients with severe bleeding and hemorrhage, embolization was performed. CONCLUSIONS: Recurrent hemarthrosis after TKR is a rare disease with a low incidence of 0.3% and usually could be treated by conservative treatment. If recurrences occur repeatedly, embolization through angiography or surgical treatment may be considered, but the results are not satisfactory and careful selection of treatment modalities is warranted.
