Treatment of Recurrent Hemarthrosis after Total Knee Arthroplasty
The Journal of Korean Knee Society
;
: 147-152, 2018.
Article
in English
| WPRIM
| ID: wpr-759317
ABSTRACT
PURPOSE:
The purpose of this study is to evaluate the incidence and treatment of recurrent hemarthrosis after total knee replacement (TKR). MATERIALS ANDMETHODS:
Among a total of 5,510 patients who underwent TKR from March 2000 to October 2016, patients who had two or more bleeding 2 weeks after surgery were studied. Conservative treatments were performed for all cases with symptoms. In patients who did not respond to conservative treatment several times, embolization was performed. We retrospectively evaluated the postoperative bleeding time, bleeding frequency, treatment method, and outcome.RESULTS:
Seventeen (0.3%) of the 5,510 patients developed recurrent hemarthrosis. Bleeding occurred at an average of 2 years 3 months after the operation. Joint aspiration was performed 3.5 times (range, 2 to 10 times) on average, and 14 cases (82.3%) were treated with conservative treatment. In 3 patients with severe bleeding and hemorrhage, embolization was performed.CONCLUSIONS:
Recurrent hemarthrosis after TKR is a rare disease with a low incidence of 0.3% and usually could be treated by conservative treatment. If recurrences occur repeatedly, embolization through angiography or surgical treatment may be considered, but the results are not satisfactory and careful selection of treatment modalities is warranted.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroplasty
/
Recurrence
/
Bleeding Time
/
Angiography
/
Incidence
/
Retrospective Studies
/
Arthroplasty, Replacement, Knee
/
Rare Diseases
/
Hemarthrosis
/
Hemorrhage
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Journal of Korean Knee Society
Year:
2018
Type:
Article
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