Pseudoaneurysm after Knee Arthroscopic Synovectomy in a Septic Arthritis Patient
10.4055/jkoa.2018.53.1.71
- Author:
Sung Jun LEE
1
;
Oog Jin SOHN
;
Seung Min RYU
;
Hodong NA
;
Woo Sung YUN
Author Information
1. Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea. karaz101@ynu.ac.kr
- Publication Type:Case Report
- Keywords:
knee;
arthroscopy;
debridement;
pseudoaneurysm
- MeSH:
Aneurysm, False;
Angiography;
Arthritis;
Arthritis, Infectious;
Arthroscopy;
Atherosclerosis;
Debridement;
Early Diagnosis;
Humans;
Knee;
Methods;
Neurofibromatoses;
Popliteal Artery;
Vascular System Injuries
- From:The Journal of the Korean Orthopaedic Association
2018;53(1):71-75
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Arthroscopic synovectomy is a widely-used method to treat septic knee arthritis. To date, many authors have reported minimal complications related to arthroscopic treatment, especially vascular injuries. A three-dimensional computed tomography angiography revealed a pseudoaneurysm that arise from the popliteal artery near the arthroscopic site in septic arthritis patients with atherosclerosis and neurofibromatosis. A careful arthroscopic procedure via the posteromedial or posterolateral portal is recommended for the prevention of this complication. We, therefore, recommend close observation after arthroscopic procedure, despite the occurrence of complications; nonetheless, early diagnosis and treatment are important. We report a case of pseudoaneurysm of the popliteal artery with a complicating arthroscopic synovectomy in septic arthritis with literature review.