{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:55:35Z","timestamp":1740171335271,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T00:00:00Z","timestamp":1644796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Anhui Provincial Department of Science and Technology","award":["S202007d07050015."],"award-info":[{"award-number":["S202007d07050015."]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute arterial embolization is a rare but serious complication following total knee arthroplasty (TKA). So far, the general consensus for this situation is that revascularization must be\n            performed immediately, but the specific treatment is still controversial. We report two cases of popliteal artery (PA) embolization caused by acute arterial thrombosis following TKA. Both\n            patients suffered the loss of sensation and movement of the right lower limb and disappearance of dorsalis pedis artery pulsation after operation. Angiography showed PA embolization. One\n            of the patients received thrombolytic therapy, but he developed a large area of infection and necrosis of the right calf muscle and required multiple debridement and skin grafting\n            procedures after successful thrombolysis. The other patient underwent thrombectomy, vascular reconstruction, and prophylactic fasciotomy, and some foot numbness and slight extensor\n            weakness remained after the operation. The authors suggest that surgeons should pay adequate attention to high-risk patients with TKA. Medical history and physical examination should be\n            carefully collected before operation. The surgical procedure should be performed accurately and gently, and limb sensation and blood circulation should be carefully observed after\n            operation. If foot sensation is abnormal and arterial pulsation is weakened, necessary examinations (Doppler ultrasound and arteriography) should be carried out immediately. Once diagnosed\n            with arterial thrombosis, the blood supply should be restored immediately. If the diagnosis is delayed for more than 6 hours, prophylactic fasciotomy may be required as a treatment to\n            avoid adverse consequences.<\/jats:p>","DOI":"10.1055\/a-1714-9483","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T00:12:25Z","timestamp":1644883945000},"page":"447-453","source":"Crossref","is-referenced-by-count":1,"title":["Acute Arterial Embolization Following Total Knee Arthroplasty: A Report of Two Cases and Literature Review"],"prefix":"10.1055","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0771-5079","authenticated-orcid":false,"given":"Chen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Second Hospital of Anhui Medical University, Hefei, China"},{"name":"Second Clinical Medical College, Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Second Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoran","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Second Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendan","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Second Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,2,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"84","DOI":"10.5792\/ksrr.17.024","article-title":"Acute Arterial Occlusion Following Primary Total Knee Arthroplasty","volume":"30","author":"BJ Park","year":"2018","journal-title":"Knee Surg Relat Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1016\/j.avsg.2007.01.009","article-title":"Late presentation of a mycotic popliteal artery pseudoaneurysm in the setting of a revised total knee arthroplasty complicated by both prior infection and periprosthetic fracture: a case\n          report","volume":"21","author":"NM Behnke","year":"2007","journal-title":"Ann Vasc Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1376","DOI":"10.1002\/ccr3.1075","article-title":"Acute arterial occlusion after total knee arthroplasty: a case report","volume":"5","author":"K Inomata","year":"2017","journal-title":"J Clin Case Rep"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/s0883-5403(87)80014-1","article-title":"Vascular complications of total knee arthroplasty. 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arthroplasty","volume":"9","author":"DE Smith","year":"2001","journal-title":"J Am Acad Orthop Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e22500","DOI":"10.1097\/MD.0000000000022500","article-title":"Acute popliteal thrombus following total knee arthroplasty: A case report","volume":"99","author":"N Runge","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s13018-017-0683-z","article-title":"Influence of tourniquet use in primary total knee arthroplasty with drainage: a prospective randomised controlled trial","volume":"12","author":"K Zhou","year":"2017","journal-title":"J Orthop Surg Res"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1016\/j.cjtee.2016.01.007","article-title":"Acute arterial occlusion in the midpiece of femoral artery following total knee arthroplasty: Report of one case","volume":"19","author":"R 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Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1714-9483.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T23:14:12Z","timestamp":1690586052000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1714-9483"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,14]]},"references-count":25,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2023,7,28]]},"published-print":{"date-parts":[[2023,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1714-9483","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"type":"print","value":"1864-6697"},{"type":"electronic","value":"1864-6743"}],"subject":[],"published":{"date-parts":[[2022,2,14]]}}}