Subcutaneous thigh fat necrosis as a result of tourniquet control during total knee arthroplasty

George S. Tamvakopoulos; Andoni P. Toms; Malcolm Glasgow

doi:10.1308/147870805x60761

Subcutaneous thigh fat necrosis as a result of tourniquet control during total knee arthroplasty

George S. Tamvakopoulos, Andoni P. Toms, Malcolm Glasgow

Norwich Medical School

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

Abstract

The use of a pneumatic tourniquet in total knee arthroplasty has been linked to complications caused by local tissue hypoxia. Fat necrosis is a rare condition that presents as an ill-defined subcutaneous lesion. The clinical features resemble that of a lipoma but histological appearance is characteristic. Ultrasound imaging is helpful in establishing the diagnosis both by sonographic appearance as well as in directing a biopsy if necessary. We present a case of encapsulated fat necrosis caused by the use of a pneumatic tourniquet during total knee arthroplasty.

Original language	English
Pages (from-to)	W11-3
Journal	Annals of the Royal College of Surgeons of England
Volume	87
Issue number	5
DOIs	https://doi.org/10.1308/147870805x60761
Publication status	Published - Sep 2005

Keywords

Aged, 80 and over
Arthroplasty, Replacement, Knee
Fat Necrosis
Female
Humans
Osteoarthritis, Knee
Postoperative Complications
Thigh
Tourniquets

Access to Document

10.1308/147870805x60761

https://pubmed.ncbi.nlm.nih.gov/16402457/

Cite this

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title = "Subcutaneous thigh fat necrosis as a result of tourniquet control during total knee arthroplasty",

abstract = "The use of a pneumatic tourniquet in total knee arthroplasty has been linked to complications caused by local tissue hypoxia. Fat necrosis is a rare condition that presents as an ill-defined subcutaneous lesion. The clinical features resemble that of a lipoma but histological appearance is characteristic. Ultrasound imaging is helpful in establishing the diagnosis both by sonographic appearance as well as in directing a biopsy if necessary. We present a case of encapsulated fat necrosis caused by the use of a pneumatic tourniquet during total knee arthroplasty.",

keywords = "Aged, 80 and over, Arthroplasty, Replacement, Knee, Fat Necrosis, Female, Humans, Osteoarthritis, Knee, Postoperative Complications, Thigh, Tourniquets",

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T1 - Subcutaneous thigh fat necrosis as a result of tourniquet control during total knee arthroplasty

AU - Tamvakopoulos, George S.

AU - Toms, Andoni P.

AU - Glasgow, Malcolm

PY - 2005/9

Y1 - 2005/9

N2 - The use of a pneumatic tourniquet in total knee arthroplasty has been linked to complications caused by local tissue hypoxia. Fat necrosis is a rare condition that presents as an ill-defined subcutaneous lesion. The clinical features resemble that of a lipoma but histological appearance is characteristic. Ultrasound imaging is helpful in establishing the diagnosis both by sonographic appearance as well as in directing a biopsy if necessary. We present a case of encapsulated fat necrosis caused by the use of a pneumatic tourniquet during total knee arthroplasty.

AB - The use of a pneumatic tourniquet in total knee arthroplasty has been linked to complications caused by local tissue hypoxia. Fat necrosis is a rare condition that presents as an ill-defined subcutaneous lesion. The clinical features resemble that of a lipoma but histological appearance is characteristic. Ultrasound imaging is helpful in establishing the diagnosis both by sonographic appearance as well as in directing a biopsy if necessary. We present a case of encapsulated fat necrosis caused by the use of a pneumatic tourniquet during total knee arthroplasty.

KW - Aged, 80 and over

KW - Arthroplasty, Replacement, Knee

KW - Fat Necrosis

KW - Female

KW - Humans

KW - Osteoarthritis, Knee

KW - Postoperative Complications

KW - Thigh

KW - Tourniquets

U2 - 10.1308/147870805x60761

DO - 10.1308/147870805x60761

M3 - Article

C2 - 16402457

VL - 87

SP - W11-3

JO - Annals of The Royal College of Surgeons of England

JF - Annals of The Royal College of Surgeons of England

SN - 0035-8843

IS - 5

ER -