Prasad G Varun, Salil Mohammad, Thilak Jai
Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Department of Orthopaedics, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
J Orthop Case Rep. 2025 Jun;15(6):126-130. doi: 10.13107/jocr.2025.v15.i06.5688.
The literature on total knee arthroplasty following genicular artery embolization (GAE) is still in its early stages. This case highlights the challenges and essential considerations in performing total knee arthroplasty for advanced osteoarthritis (OA) in patients who experience inadequate pain relief following GAE.
A patient with advanced OA underwent GAE for knee pain. He had swelling and skin discoloration around the knee, which required readmission. The patient sought further treatment options due to persistent knee pain. After a thorough pre-operative vascular assessment, he underwent total knee arthroplasty. At 1-year follow-up, he reported significant pain relief, improved knee range of motion, and returned back to daily routine activities.
This case illustrates that after GAE for OA, with no pain relief, a successful total knee arthroplasty can be performed after comprehensive pre-operative workup with counselling on GAE issues.
关于膝下动脉栓塞术（GAE）后全膝关节置换术的文献仍处于早期阶段。本病例突出了在GAE后疼痛缓解不足的患者中，为晚期骨关节炎（OA）进行全膝关节置换术所面临的挑战和重要考虑因素。
一名晚期OA患者因膝关节疼痛接受了GAE。他的膝关节周围出现肿胀和皮肤变色，需要再次入院。由于膝关节持续疼痛，患者寻求进一步的治疗选择。经过全面的术前血管评估后，他接受了全膝关节置换术。在1年的随访中，他报告疼痛明显缓解，膝关节活动范围改善，并恢复了日常活动。
本病例表明，对于OA患者，在GAE后若疼痛未缓解，在进行全面的术前检查并就GAE问题进行咨询后，可以成功进行全膝关节置换术。
