1001 A Case Report on Popliteal Artery Occlusion After a Low-Energy Trauma Years After Total Knee Arthroplasty

Abstract Aim To highlight the significance of dislocated total knee arthroplasty, which is more likely to happen after a low-energy trauma and can result in limb-threatening neurovascular complications compartment syndrome, we present case mild that resulted co-occurrence occlusion left popliteal artery vein 10 years implantation. Method Three weeks fall on her at home, 69-year-old woman presented our orthopedics clinic with swelling, paresthesia, paralysis leg. She had edema significant ecchymosis, tibial pulses vanished. uneventful bilateral arthroplasty surgery right knees six ten ago, respectively. Her medical history for type 2 diabetes mellitus hypertension. Doppler ultrasound CT angiography showed occluded vein. Following thromboembolectomy by cardiovascular surgeons, orthopedic surgeons underwent lower leg preventative fasciotomy under general anesthesia creating two longitudinal incisions either side tibia. Results ultrasonography fifth follow-up day revealed biphasic flow posterior monophasic dorsal artery, however, paresthesia were still present. Ultimately, unilateral above-knee amputation was performed. Conclusions Due high level concern vascular injury advise physicians consider while treating patients who ago minimal trauma.