Volume 7, Issue 5, September 2018, Page: 131-134
A Case of Deep Vein Thrombosis Caused by Hematoma Following Total Knee Arthroplasty
Takenori Tomite, Department of Orthopedic Surgery, Akita Red Cross Hospital, Akita, Japan; Akita Sports, Arthroscopy, and Knee Group (ASAKG), Akita, Japan
Hidetomo Saito, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan; Akita Sports, Arthroscopy, and Knee Group (ASAKG), Akita, Japan
Hiroaki Kijima, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan; Akita Sports, Arthroscopy, and Knee Group (ASAKG), Akita, Japan
Kimio Saito, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan; Akita Sports, Arthroscopy, and Knee Group (ASAKG), Akita, Japan
Noriyuki Ishikawa, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan
Yuji Hatakeyama, Department of Orthopedic Surgery, Akita Red Cross Hospital, Akita, Japan
Hiroshi Tazawa, Department of Orthopedic Surgery, Akita Red Cross Hospital, Akita, Japan
Satoshi Yumoto, Department of Orthopedic Surgery, Akita Red Cross Hospital, Akita, Japan
Ryo Syoji, Department of Orthopedic Surgery, Akita Red Cross Hospital, Akita, Japan
Toshiaki Aizawa, Department of Orthopedic Surgery, Kitaakita Municipal Hospital, Akita, Japan
Naohisa Miyakoshi, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan
Yoichi Shimada, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan; Akita Sports, Arthroscopy, and Knee Group (ASAKG), Akita, Japan
Received: Sep. 19, 2018;       Accepted: Oct. 26, 2018;       Published: Nov. 28, 2018
DOI: 10.11648/j.cmr.20180705.15      View  21      Downloads  9
Abstract
Deep vein thrombosis is one of the main complications of total knee arthroplasty. Hematoma is another complication often seen following total knee arthroplasty, but a search of the literature found no reports of deep vein thrombosis caused by hematoma. A case of a 68-year-old woman with knee osteoarthritis who underwent total knee arthroplasty, with subsequent onset of thrombosis caused by hematoma, is reported. The surgery was performed through the medial parapatellar approach with measured resection and the implant was put in place with cement fixation. On postoperative day 7, there was still leakage of exudate from the wound, and swelling of the lower leg appeared. Therefore, infection or thrombosis was suspected, and contrast-enhanced computed tomography was performed. Accumulation of fluid was found from the thigh to the knee, and when paracentesis was carried out, blood was drawn, resulting in a diagnosis of hematoma. In addition, the blood vessels were under pressure from the hematoma, and thrombosis was diagnosed based on the clinical, blood analysis, and ultrasound findings. There was concern about treatment due to coexistence of hematoma and thrombi, but through application of a Robert Jones bandage and administration of edoxaban, the patient made good progress with no major complications. A case of deep vein thrombosis caused by hematoma following total knee arthroplasty was reported. The patient recovered without major complications through administration of edoxaban and application of a Robert Jones bandage.
Keywords
Total Knee Arthroplasty, Deep Venous Thrombosis, Anticoagulant
To cite this article
Takenori Tomite, Hidetomo Saito, Hiroaki Kijima, Kimio Saito, Noriyuki Ishikawa, Yuji Hatakeyama, Hiroshi Tazawa, Satoshi Yumoto, Ryo Syoji, Toshiaki Aizawa, Naohisa Miyakoshi, Yoichi Shimada, A Case of Deep Vein Thrombosis Caused by Hematoma Following Total Knee Arthroplasty, Clinical Medicine Research. Vol. 7, No. 5, 2018, pp. 131-134. doi: 10.11648/j.cmr.20180705.15
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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