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Recurrent Hemarthrosis Following Total Knee Arthroplasty

Held, Michael B. MD, MBA1; Grosso, Matthew J. MD1; Sarpong, Nana O. MD, MBA1; Hamilton, William G. MD2; Sista, Akhilesh K. MD3; Macaulay, William MD3

doi: 10.2106/JBJS.RVW.19.00012
Review Articles

  • » Recurrent hemarthrosis is a treatable complication following total knee arthroplasty that can cause debilitating symptoms that can affect outcomes following a total knee arthroplasty.
  • » Making a diagnosis of recurrent hemarthrosis can be difficult, especially if providers are not familiar with this potential complication.
  • » The use of lower-extremity magnetic resonance angiography has been shown to be successful in diagnosing this potential complication.
  • » Current management strategies range from conservative therapy to targeted genicular artery embolization to arthroscopic and open synovectomy.
  • » Prompt identification and treatment of hemarthrosis following total knee arthroplasty are critical to avoid permanent limitations of range of motion that may jeopardize the postoperative outcome.

1Department of Orthopaedic Surgery, New York Presbyterian Hospital and Columbia University Medical Center, New York, NY

2Anderson Orthopaedic Research Institute, Alexandria, Virginia

3NYU Langone Health, New York, NY

E-mail address for M.B. Held:

Investigation performed at New York Presbyterian Hospital and Columbia University Medical Center, New York, NY

Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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