Abstract

NICOLINO, Tomás L. et al. Trombosis arterial de diagnóstico tardío que simula un síndrome de Südeck luego de un reemplazo total de rodilla. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.1, pp.79-84. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.1.1397.

Arterial thrombosis after total knee replacement (TKR) is a rare complication; however, it can lead to disastrous consequences. We describe a case of an arterial occlusion after TKR in an 85-year-old female patient. Initially, the clinical presentation made us consider Raynaud (she had a history of CREST) and complex regional pain syndrome, which delayed the diagnosis for 2 weeks. Diagnosis and treatment were accomplished with angiography and the patient achieved a full recovery. The low frequency of this injury may make diagnosis a challenge for the surgeon. In this case, partial occlusion of the arteries avoided more serious complications.

Keywords : Total knee replacement; arterial thrombosis; vascular injury; complex regional syndrome pain; CREST syndrome.

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