501. Spontaneous recurrent haemarthrosis following unicompartmental knee arthroplasty and its successful treatment by coil embolisation.
- Author
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Maheshwari R, Kelley SP, Langkamer VG, and Loveday E
- Subjects
- Aged, Aged, 80 and over, Arthroplasty, Replacement, Knee methods, Embolization, Therapeutic methods, Humans, Male, Neovascularization, Pathologic diagnostic imaging, Osteoarthritis, Knee surgery, Radiography, Recurrence, Saphenous Vein diagnostic imaging, Saphenous Vein pathology, Arthroplasty, Replacement, Knee adverse effects, Embolization, Therapeutic instrumentation, Hemarthrosis etiology, Hemarthrosis therapy, Synovial Membrane blood supply
- Abstract
A case of spontaneous recurrent haemarthrosis of the knee presenting 3 months after the unicondylar knee replacement is described. Femoral arteriography demonstrated hypertrophy of the saphenous branch of descending genicular artery with a prominent vascular blush in the region of posteromedial aspect of the popliteal fossa thought to represent a hypertrophic vascular mass of synovium. Therapeutic embolisation of the saphenous branch of descending genicular artery was performed using three fibred platinum coils with satisfactory clinical results. Since the embolisation, the haemarthrosis has not recurred. To our knowledge, this therapeutic procedure used to treat recurrent haemarthrosis following unicondylar knee arthroplasty has not been previously described in the literature.
- Published
- 2004
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