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全膝关节置换术后反复关节内积血。

Recurrent hemarthrosis after total knee arthroplasty.

机构信息

Department of Orthopedic Surgery and Traumatology, Kantonsspital, St. Gallen, Switzerland.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2010 Jul;18(7):898-900. doi: 10.1007/s00167-009-1031-6. Epub 2010 Jan 14.

DOI:10.1007/s00167-009-1031-6
PMID:20076944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2887507/
Abstract

This report describes a case of spontaneous recurrent hemarthrosis of the knee that presented 4 weeks after total knee arthroplasty. Femoral arteriography showed a false aneurysm of a branch of the inferior lateral geniculate artery. Therapeutic embolization of the arterial branch was performed using three platinum coils with good clinical result and good knee joint function. Hemarthrosis has not recurred since embolization.

摘要

本报告描述了一例全膝关节置换术后 4 周出现膝关节自发性反复关节积血的病例。股动脉造影显示，膝下外侧膝状动脉分支假性动脉瘤。使用三根铂金线圈进行动脉分支的栓塞治疗，取得了良好的临床效果和膝关节功能。栓塞后关节积血未再复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0be/2887507/fee3963cc56d/167_2009_1031_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0be/2887507/94eeb10649bf/167_2009_1031_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0be/2887507/fee3963cc56d/167_2009_1031_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0be/2887507/94eeb10649bf/167_2009_1031_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0be/2887507/fee3963cc56d/167_2009_1031_Fig2_HTML.jpg

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本文引用的文献

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Late spontaneous haemarthrosis: an unusual complication following an unicompartmental knee arthroplasty.晚期自发性关节积血：单髁膝关节置换术后一种不寻常的并发症。
Knee Surg Sports Traumatol Arthrosc. 2007 Jun;15(6):763-5. doi: 10.1007/s00167-006-0251-2. Epub 2006 Dec 23.
2
Pseudoaneurysm of the inferior medial geniculate artery following primary total knee arthroplasty: delayed presentation with recurrent haemorrhagic episodes.初次全膝关节置换术后膝内侧下膝状动脉假性动脉瘤：反复出血发作的延迟表现
Knee Surg Sports Traumatol Arthrosc. 2006 Feb;14(2):153-5. doi: 10.1007/s00167-005-0639-4. Epub 2005 Jul 19.
3
手术干预治疗全膝关节置换术后反复关节积血
Clin Orthop Surg. 2021 Jun;13(2):152-159. doi: 10.4055/cios20066. Epub 2021 Apr 1.
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Endovascular management of recurrent hemarthrosis of the knee: a case series.膝关节复发性血肿的血管内治疗：病例系列
CVIR Endovasc. 2020 Aug 30;3(1):43. doi: 10.1186/s42155-020-00135-0.
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Traditional investigation and management for recurrent hemarthrosis after total knee arthroplasty: A case report.全膝关节置换术后复发性关节积血的传统检查与处理：一例病例报告。
World J Clin Cases. 2020 May 26;8(10):1966-1972. doi: 10.12998/wjcc.v8.i10.1966.
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Pseudoaneurysm after total knee arthroplasty: imaging findings in 7 patients.全膝关节置换术后假性动脉瘤：7例患者的影像学表现
Skeletal Radiol. 2019 May;48(5):699-706. doi: 10.1007/s00256-018-3084-4. Epub 2018 Oct 10.
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