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Pseudoaneurysm formation is a rare but serious complication following elective and trauma surgery to the knee. To our knowledge, we have reported one of the few cases of a pseudoaneurysm of the descending genicular artery following drain placement and only the second case following placement of a tibial interlocking nail. To prevent the development of pseudoaneurysm formation we recommend the placement of drains superolaterally. Pseudoaneurysms around the knee pose a significant challenge to the clinician, but if diagnosed early, can be successfully treated using radiological endovascular techniques negating the need for further surgery and without compromising patient rehabilitation.






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From the manuscript

Geniculate arterial pseudoaneurysm formation following trauma and elective orthopaedic surgery to the knee: 2 case reports and a review of the literature

Free full text article: Geniculate arterial pseudoaneurysm formation following trauma and elective orthopaedic surgery to the knee: 2 case reports and a review of the literature

Abstract
Arterial pseudoaneurysm formation of the genicular vessels following orthopaedic surgery to the knee is an extremely rare occurrence. Here we report the successful management of two cases as a complication of total knee arthroplasty and a tibial interlocking nail, utilising coil embolisation by interventional radiological techniques and negating the need for further surgery. To our knowledge this is one of the few reported cases of pseudoaneurysms of the descending genicular artery secondary to drain placement and only the second following tibial interlocking nail placement.






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