RESUMO
The purpose of this study was to investigate ways of reducing and controlling blood loss and postoperative anaemia in total condylar knee arthroplasty performed under tourniquet. The study covers a two year period to December 1982. Reduction of blood loss was successfully achieved by being aware of the very rich blood supply to the knee and utilizing diathermy for potential bleeders before and after the release of the tourniquet and employing various haemostatic measures. All these patients need blood transfusion, as well as the measures to reduce blood loss, so that they do not become anaemic postoperatively.
Assuntos
Hemorragia/prevenção & controle , Articulação do Joelho/cirurgia , Prótese do Joelho , Complicações Pós-Operatórias/prevenção & controle , Idoso , Anemia/prevenção & controle , Transfusão de Sangue , Diatermia , Feminino , Hemostasia Cirúrgica , Humanos , Articulação do Joelho/irrigação sanguínea , Masculino , Métodos , Osteoartrite/cirurgia , TorniquetesRESUMO
Dissecting aneurysms of peripheral arteries within the extremities are very rare. We report a case of dissection of the superficial femoral and popliteal arteries, in which the preoperative arteriography was diagnostic and surgical treatment was undertaken before the onset of severe ischaemia. It is recommended that the diagnosis of dissecting aneurysm of a major artery should be considered when limb ischaemia occurs in a younger patient.
