Rarely significant vascular injury can occur during total knee arthroplasty (TKA). Petis et al identified risk factors for its occurrence.
Patient selection: total knee arthroplasty (TKA)
Frequency: 0.06% of primary TKA
Catastrophic vascular injury was defined as any vascular injury that required vascular surgery to repair.
Sites of vascular injury: popliteal artery and/or popliteal vein
Risk factors for catastrophic vascular injury:
(1) revision TKA
(2) tibial preparation phase of the procedure
If the problem is identified and treated promptly, then the outcome is generally good.
Complications:
(1) limb ischemia which can lead to amputation if severe
(2) vascular thrombosis
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Specialty: Surgery, orthopedic
