Late-Diagnosed Arterial Thrombosis Mimicking Complex Regional Pain Syndrome After TKR in a Patient With CREST Syndrome
DOI:
https://doi.org/10.15417/issn.1852-7434.2022.87.1.1397Keywords:
Total knee replacement, arterial thrombosis, vascular injury, complex regional syndrome pain, CREST syndromeAbstract
Arterial thrombosis after total knee replacement (TKR) is a rare complication; however, it can lead to disastrous consequences. We describe a case of an arterial occlusion after TKR in an 85-year-old female patient. Initially, the clinical presentation made us consider Raynaud (she had a history of CREST) and complex regional pain syndrome, which delayed the diagnosis for 2 weeks. Diagnosis and treatment were accomplished with angiography and the patient achieved a full recovery. The low frequency of this injury may make diagnosis a challenge for the surgeon. In this case, partial occlusion of the arteries avoided more serious complications.
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