Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature

We present a 69-year-old male with osteoarthritis of a varus mechanically aligned left knee that developed delayed arterial thrombosis after primary total knee arthroplasty (TKA) requiring stenting and subsequent trans-metatarsal amputation. This case is unique since initial presentation involved ne...

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Main Authors: Clayton Del Prince, John Reza Matthews, Matthew Phillips
Format: Article
Language:English
Published: Karger Publishers 2021-01-01
Series:Case Reports in Orthopedic Research
Subjects:
Online Access:https://www.karger.com/Article/FullText/511967
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spelling doaj-00f80cdb05e04d0486e783cb4a03a90c2021-02-19T05:58:23ZengKarger PublishersCase Reports in Orthopedic Research2296-93732021-01-0141112310.1159/000511967511967Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the LiteratureClayton Del PrinceJohn Reza MatthewsMatthew PhillipsWe present a 69-year-old male with osteoarthritis of a varus mechanically aligned left knee that developed delayed arterial thrombosis after primary total knee arthroplasty (TKA) requiring stenting and subsequent trans-metatarsal amputation. This case is unique since initial presentation involved neurologic instead of ischemic changes. We also performed a literature review of arterial injuries in primary TKA. This case highlights the importance of maintaining a high clinical suspicion for vascular insult in patients undergoing correction of varus malalignment with initial complaints of neurologic dysfunction.https://www.karger.com/Article/FullText/511967varus kneetotal knee arthroplastyvasculararterial injury
collection DOAJ
language English
format Article
sources DOAJ
author Clayton Del Prince
John Reza Matthews
Matthew Phillips
spellingShingle Clayton Del Prince
John Reza Matthews
Matthew Phillips
Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature
Case Reports in Orthopedic Research
varus knee
total knee arthroplasty
vascular
arterial injury
author_facet Clayton Del Prince
John Reza Matthews
Matthew Phillips
author_sort Clayton Del Prince
title Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature
title_short Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature
title_full Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature
title_fullStr Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature
title_full_unstemmed Delayed Arterial Occlusion Presenting as Foot Drop Following Primary Total Knee Arthroplasty in a Varus Knee: A Case Report and Review of the Literature
title_sort delayed arterial occlusion presenting as foot drop following primary total knee arthroplasty in a varus knee: a case report and review of the literature
publisher Karger Publishers
series Case Reports in Orthopedic Research
issn 2296-9373
publishDate 2021-01-01
description We present a 69-year-old male with osteoarthritis of a varus mechanically aligned left knee that developed delayed arterial thrombosis after primary total knee arthroplasty (TKA) requiring stenting and subsequent trans-metatarsal amputation. This case is unique since initial presentation involved neurologic instead of ischemic changes. We also performed a literature review of arterial injuries in primary TKA. This case highlights the importance of maintaining a high clinical suspicion for vascular insult in patients undergoing correction of varus malalignment with initial complaints of neurologic dysfunction.
topic varus knee
total knee arthroplasty
vascular
arterial injury
url https://www.karger.com/Article/FullText/511967
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AT matthewphillips delayedarterialocclusionpresentingasfootdropfollowingprimarytotalkneearthroplastyinavaruskneeacasereportandreviewoftheliterature
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