Gliatis John D, Papagiannis Spyridon L, Sinos Georgios V, Argyropoulou Evangelia D, Kotsia Christiana V
Department of Orthopedics, Patras University Hospital, Patras, Greece.
University of Patras, Patras, Greece.
Indian J Orthop. 2022 Dec 10;57(1):159-162. doi: 10.1007/s43465-022-00790-6. eCollection 2023 Jan.
Knee arthroscopy is among the most popular surgical procedures performed worldwide. Following knee arthroscopy, complications are infrequent, with vascular damage being extremely rare. We present a case of a 16-year-old man with a superior lateral genicular artery pseudoaneurysm of his right knee. The pseudoaneurysm developed after arthroscopic irrigation and debridement for septic arthritis following previous arthroscopic meniscal repair. Diagnosis was confirmed by computed tomography angiography and the patient underwent intravascular embolization. We conducted a literature review to demonstrate the incidence of vascular injuries following knee arthroscopy, vessels that are more at risk, clinical presentation and current treatment options. Although vascular injuries following knee arthroscopy are uncommon, high clinical suspicion can lead to early detection and treatment of this severe complication.
膝关节镜检查是全球范围内最常用的外科手术之一。膝关节镜检查后，并发症并不常见，血管损伤极为罕见。我们报告一例16岁男性右膝膝上外侧动脉假性动脉瘤病例。该假性动脉瘤是在先前关节镜半月板修复术后因化脓性关节炎行关节镜冲洗和清创后形成的。通过计算机断层血管造影确诊，患者接受了血管内栓塞治疗。我们进行了文献综述，以阐明膝关节镜检查后血管损伤的发生率、更易受累的血管、临床表现及当前的治疗选择。虽然膝关节镜检查后血管损伤并不常见，但高度的临床怀疑可促使早期发现并治疗这一严重并发症。
