Below-Knee Amputation Resulting from an Arterial Thrombosis from Tourniquet Use in a Patient with Undiagnosed Factor v Leiden: A Case Report

Gavin Hautala; Boshen Liu; David Hamilton; Arun Aneja; Eric Moghadamian

doi:10.2106/JBJS.CC.19.00457

Below-Knee Amputation Resulting from an Arterial Thrombosis from Tourniquet Use in a Patient with Undiagnosed Factor v Leiden: A Case Report

Gavin Hautala, Boshen Liu, David Hamilton, Arun Aneja, Eric Moghadamian

College of Medicine

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

2 Scopus citations

Abstract

Case:A 38-year-old woman presented with previously undiagnosed factor V Leiden (FVL), who suffered a complete superficial femoral arterial thrombosis after tourniquet use during the surgical repair of one of her bilateral tibial plafond fractures. This patient's injury eventually resulted in a below-knee amputation.Conclusion:We recommend expanding hypercoagulable screening on patients with risk factors based on a detailed history and physical examination. We also recommend limiting or negating tourniquet use in patients with FVL or other hypercoagulable disorders.

Original language	English
Pages (from-to)	E0457
Journal	JBJS Case Connector
Volume	10
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.19.00457
State	Published - Feb 21 2020

Bibliographical note

Publisher Copyright:
© 2020 by the Journal of Bone and Joint Surgery, Incorporated.

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.19.00457

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abstract = "Case:A 38-year-old woman presented with previously undiagnosed factor V Leiden (FVL), who suffered a complete superficial femoral arterial thrombosis after tourniquet use during the surgical repair of one of her bilateral tibial plafond fractures. This patient's injury eventually resulted in a below-knee amputation.Conclusion:We recommend expanding hypercoagulable screening on patients with risk factors based on a detailed history and physical examination. We also recommend limiting or negating tourniquet use in patients with FVL or other hypercoagulable disorders.",

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AU - Hamilton, David

AU - Aneja, Arun

AU - Moghadamian, Eric

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AB - Case:A 38-year-old woman presented with previously undiagnosed factor V Leiden (FVL), who suffered a complete superficial femoral arterial thrombosis after tourniquet use during the surgical repair of one of her bilateral tibial plafond fractures. This patient's injury eventually resulted in a below-knee amputation.Conclusion:We recommend expanding hypercoagulable screening on patients with risk factors based on a detailed history and physical examination. We also recommend limiting or negating tourniquet use in patients with FVL or other hypercoagulable disorders.

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Below-Knee Amputation Resulting from an Arterial Thrombosis from Tourniquet Use in a Patient with Undiagnosed Factor v Leiden: A Case Report

Abstract

Bibliographical note

ASJC Scopus subject areas

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