Runge Nicholas, Hollifield Lauren, Arnold Margaret, Oni Julius
Alabama College of Osteopathic Medicine, Dothan, AL.
University of Nevada Las Vegas School of Medicine, Las Vegas, NV.
Medicine (Baltimore). 2020 Oct 16;99(42):e22500. doi: 10.1097/MD.0000000000022500.
We report the youngest documented patient (38 years old) to develop an acute popliteal artery thrombus following primary total knee arthroplasty (TKA).
The patient presented for an elective TKA secondary to posttraumatic arthritis. Past medical history included a tibial plateau fracture, two knee arthroscopies and an elevated body mass index (37.53). A right TKA was performed with no intraoperative complications. Two hours postoperatively, the right foot was poikilothermic and lacking dorsalis pedal pulse.
Popliteal artery thrombus confirmed by angiogram and venous duplex.
Immediate vascular surgery consult and subsequent embolectomy.
At 1 year postoperatively, the patient is doing well with no further complications.
Due to the lack of significant past medical history putting this patient at risk, future research should focus on prior trauma, age, and BMI as risk factors, specifically in patients undergoing TKA.
我们报告了有记录以来最年轻的患者（38岁），在初次全膝关节置换术（TKA）后发生急性腘动脉血栓形成。
该患者因创伤后关节炎前来接受择期TKA。既往病史包括胫骨平台骨折、两次膝关节关节镜检查以及体重指数升高（37.53）。行右膝TKA，术中无并发症。术后两小时，右足温度异常，足背动脉搏动消失。
血管造影和静脉双功超声证实为腘动脉血栓。
立即咨询血管外科并随后进行栓子切除术。
术后1年，患者情况良好，无进一步并发症。
由于该患者既往无显著病史使其处于风险之中，未来研究应关注既往创伤、年龄和体重指数作为风险因素，特别是在接受TKA的患者中。
