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International Journal of Medical and Pharmaceutical Case Reports

International Journal of Medical and Pharmaceutical Case Reports, 2394-109X,Vol.: 10, Issue.: 1

Case Report

Arterial Vascular Complications after Total Knee Arthroplasty Decrease the Quality of Post-op Rehabilitation (A Case Report)


Ivet Koleva1*, Frederic Milvoy2 and Borislav Yoshinov1

1Medical University of Sofia, Bulgaria.

2Hospital ‘St Amand Montrond, France.


Article Information
(1) Nurhan Cucer, Medical Biology Department, Faculty of Medicine, Erciyes University, Turkey.
(1) Ali Al Kaissi, Orthopedic Hospital of Speising, Austria.
(2) Parth Shailesh Trivedi, C. M. Patel College of Physiotherapy, Kadi Sarva Vishwavidyalaya, India.
Complete Peer review History: http://www.sciencedomain.org/review-history/20942




Introduction: Routinely patients with hip or knee arthroplasty are transferred from acute clinic to rehabilitationdepartment at an ever earlier stage (one week post-op).

The most frequent complications after lower extremity arthroplasty are: local pain, edema, contracture, tardive calcification, infection, hemorrhage, pulmonary embolism and deep vein thrombosis. Sometimes unexpected complications can provoke a delay or even suspension of the rehabilitation.

Aims of the Study: The principal objective of the current article is to remind to the wide public the possible presence (and subsequent care) of other complications, e.g. the lower limb arteritis.

Case Presentation: The presented patient is 77 years old male. Hospitalized in our PRM Department one week after operation, with the objective of post-op orthopedic rehabilitation after total knee arthroplasty (for advanced gonarthrosis - genu varum with angle 4°). Arterial Echo-Doppler of the lower extremities: Acute thrombosis of the left femoral superficial arteria, and the left popliteal supra-articular arteria (aneurysm of 30 mm), missing images of retro & supra-articular popliteal arteriae. Urgent operation was needed for the left leg diagnosed with Arteritis: femoro-peroneal distal pontage in the intern saphenous vein with angioplasty of the distal anastomosis.

Discussion: In every case our goal is to prevent possible complications and to assure a high quality of the rehabilitation.

Conclusion: Vascular complications after joint replacement can postpone or even interrupt the fluency of the rehab process. In every clinical case the PRM & OT medical doctors must be immediately alerted of any suspicion for complication or significant variation in expected progression / outcomes.


Keywords :

Knee arthroplasty; complication; arteritis; rehabilitation; physiotherapy.


Full Article - PDF    Page 1-8    Article Metrics


DOI : 10.9734/IJMPCR/2017/35909

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