Arterial Vascular Complications after Total Knee Arthroplasty Decrease the Quality of Post-op Rehabilitation (A Case Report) | Chapter 11 | Modern Advances in Pharmaceutical Research Vol. 1

Introduction: Routinely patients with hip or knee arthroplasty are transferred from acute clinic to rehabilitation department at an ever earlier stage (one week post-op). The  most  frequent  complications  after  lower  extremity  arthroplasty  are:  local  pain,  edema, contracture,  tardive  calcification,  infection,  hemorrhage,  pulmonary  embolism  and  deep  vein thrombosis. Sometimes unexpected complications can provoke a delay or even suspension of the rehabilitation.

Aims of the Study: The principal objective of the current article is to remind to the wide public the possible presence (and subsequent care) of other complications, e.g. the lower limb arteritis.

Case Presentation: The presented patient is 77 years old male. Hospitalized in our PRM Department one  week  after  operation,  with  the  objective  of post-op  orthopedic  rehabilitation after total  knee arthroplasty (for advanced gonarthrosis – genu varum with angle 4°). Arterial  Echo-Doppler  of the lower extremities: Acute thrombosis of the left femoral superficial arteria, and the left popliteal supra-articular arteria (aneurysm of 30 mm), missing images of retro & supra-articular popliteal arteriae. Urgent operation was realized for the left leg diagnosed with Arteritis: Femoro-peroneal distal by-pass graft in the intern saphenous vein with angioplasty of the distal anastomosis. After the operation, the rehabilitation process was adapted to this tardive complication.

Discussion: In every case our goal is to prevent possible complications and to assure a high quality of the rehabilitation, respectively – an improvement of the patient’s quality of care and quality of life.

Conclusion: Vascular  complications  after  joint  replacement can  postpone  or  even  interrupt  the fluency  of  the  rehab  process.  In  every  clinical  case  the  PRM  &  OT  medical  doctors  must  be immediately alerted of any suspicion for complication or significant variation in expected progression / outcomes.

Author(s) Details

Prof. Ivet Borissova Koleva
Medical University of Sofia, Bulgaria.

Dr. Frederic Milvoy
Hospital ‘St Amand Montrond, France.

Borislav Radoslavov Yoshinov
Medical Faculty of Sofia University,Bulgaria.

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