Arterial injury to an anomalous anterior tibial artery during total knee arthroplasty

Thursday, 30 Aug 2012 12:08:06 GMT

Although arterial complications during or after total knee arthroplasty (TKA) are rare; however, their sequelae can be disastrous. This case report describes the injury to an anomalous anterior tibial artery during total knee arthroplasty (TKA) and its successful surgical management. The operation was quite uneventful, but on release of the tourniquet at the end of the procedure, excessive bleeding was encountered. Further exploration to locate the source of the bleeding revealed injury to the anterior tibial artery, which was taking off quite higher off from the popliteal artery (Figure 1). The vessel was however successfully repaired with prolene sutures with no postoperative vascular complications and an uneventful recovery.

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Arterial injury to an anomalous anterior tibial artery during total knee arthroplasty