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‘Remain calm, diligent’ in the face of vascular injuries during TKA

Vascular injuries can occur during total knee arthroplasty, with the most common being injury to the popliteal artery. Surgeons need to remain calm, communicate effectively, consult a vascular surgeon, and assess the extent of the injury. In case of a vascular injury in an ambulatory surgery center (ASC), a plan should be in place for stabilizing the patient and transferring them to a hospital if needed. Having proximal or distal control, applying a tourniquet, and documenting the time it was placed are crucial steps in managing vascular injuries during surgery. Surgeons should be prepared for such rare occurrences and have a plan in place to ensure patient safety.

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