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KMID : 0361620180530010071
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Journal of the Korean Orthopaedic Association
2018 Volume.53 No. 1 p.71 ~ p.75
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Pseudoaneurysm after Knee Arthroscopic Synovectomy in a Septic Arthritis Patient
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Lee Sung-Jun
Sohn Oog-Jin
Ryu Seung-Min
Na Ho-Dong
Yun Woo-Sung
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Abstract
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Arthroscopic synovectomy is a widely-used method to treat septic knee arthritis. To date, many authors have reported minimal complications related to arthroscopic treatment, especially vascular injuries. A three-dimensional computed tomography angiography revealed a pseudoaneurysm that arise from the popliteal artery near the arthroscopic site in septic arthritis patients with atherosclerosis and neurofibromatosis. A careful arthroscopic procedure via the posteromedial or posterolateral portal is recommended for the prevention of this complication. We, therefore, recommend close observation after arthroscopic procedure, despite the occurrence of complications; nonetheless, early diagnosis and treatment are important. We report a case of pseudoaneurysm of the popliteal artery with a complicating arthroscopic synovectomy in septic arthritis with literature review.
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KEYWORD
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knee, arthroscopy, debridement, pseudoaneurysm
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