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Acute popliteal artery occlusion after arthroscopic posterior cruciate ligament reconstruction
Affiliation:1. Department of Orthopedic Surgery, Chang Gung Memorial Hospital at Kaohsiung, Kaohsiung, Taiwan;1. Stanford University, Department of the School of Medicine, Stanford, CA, USA;2. Stanford University, Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford, CA, USA;1. NoviSci, LLC, Durham, NC, United States;2. Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States;3. RTI Health Solutions, Research Triangle Park, NC, United States;4. Department of Medicine, Division of Nephrology and Hypertension, University of North Carolina, Chapel Hill, NC, United States;5. Department of Internal Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, United States;1. Centre for Immunization and Respiratory Infectious Diseases, Public Health Agency of Canada, Ottawa, Canada;2. Division of Infectious Diseases, University of Ottawa, Ottawa, Canada;3. Research Institute of the McGill University Health Centre, Montreal, Canada;1. Case Western Reserve University School of Medicine, Cleveland, OH, USA;2. Department of Plastic Surgery, University Hospitals – Case Medical Center, Cleveland, OH, USA;1. Dr. Jayme Santos State Hospital (Hospital Estadual Dr. Jayme Santos), Av. Americo Buaiz, 501, Torre Norte – sala 203, Enseada do Sua, Vitoria, Espírito Santo, Brazil;2. State University of Campinas School of Medical Sciences (FCM-UNICAMP), Rua Tessália Vieira de Camargo, 126 – Cidade Universitária Zeferino Vaz, Campinas, São Paulo CEP 13083-887, Brazil;1. Department of Infectious Disease Epidemiology & Prevention, Statens Serum Institut, Artillerivej 5, DK-2300 Copenhagen S, Denmark;2. Department of Evidence, Education & Emergency Services, Danish Health Authority, Islands Brygge 67, DK-2300 Copenhagen S, Denmark;3. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Gustav III:s Boulevard 40, 169 73 Solna, Sweden;4. Infectious Disease Preparedness, Statens Serum Institut, Artillerivej 5, DK-2300 Copenhagen S, Denmark
Abstract:Arthroscopic posterior cruciate ligament reconstruction may carry certain risks of complications, including injury to the neurovascular structures in the popliteal region. Acute occlusion of the popliteal artery, a limb-threatening complication, was reported after total knee arthroplasty. We report a case of acute popliteal artery occlusion after arthroscopic posterior cruciate ligament reconstruction. The possible causes included underlying artherosclerosis, the use of pneumatic tourniquet, surgical manipulation, and arterial spasm. Early diagnosis and prompt surgical treatment are the keys to success in the treatment of this limb-threatening complication. Spontaneous resolution of the thrombus such as is reported in this case is exceptional.
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