Recurrent Haemarthrosis after Total Knee Arthroplasty: Investigation and Management

X. He, Y. Li, K. Zhang, T. Hua
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Abstract

Recurrent haemarthrosis is a relatively rare complication of total knee arthroplasty, and only a few cases have been reported; hence, it is hard to determine comprehensive diagnosis and treatment guidelines. We report a case of haemarthrosis in 50-year-old male patient 14 months postoperatively. Investigations (ultrasound, aspiration, and arthroscopy) and managements (non-surgical, arthroscopy and open exploration) were performed, and the clinical effects of these interventions were analyzed separately. Clinical evidence indicates that the cause of this case was rupture of a pseudoaneurysm of the medial superior genicular artery. A brief review is involved in discussion part.
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全膝关节置换术后复发性血关节病的调查与处理
复发性关节血肿是全膝关节置换术中相对罕见的并发症,只有少数病例被报道;因此,很难制定全面的诊断和治疗指南。我们报告一例50岁男性患者术后14个月的血关节病。进行调查(超声、抽吸和关节镜检查)和处理(非手术、关节镜检查和开放探查),并分别分析这些干预措施的临床效果。临床证据表明,本病例的原因是假动脉瘤破裂的内侧膝上动脉。讨论部分是一个简短的回顾。
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