Compartment syndrome following total knee arthroplasty: clinical results of late fasciotomy

Compartment syndrome after total knee arthroplasty (TKA) is a rare complication. Because of its rarity, it may be overlooked and misdiagnosed as peroneal nerve palsy or deep vein thrombosis. This misdiagnosis could have a profound impact on the patient's outcome. We report a case of a 77-year-o...

Full description

Saved in:
Bibliographic Details
Published inKnee Surgery and Related Research, 26(3) Vol. 26; no. 3; pp. 177 - 181
Main Authors Park, Cheol-Hee, Lee, Seung-Hyuk, Kang, Dong-Geun, Cho, Kye-Youl, Lee, Sang-Hak, Kim, Kang-Il
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Knee Society 01.09.2014
대한슬관절학회
Subjects
Case Report
정형외과학
Knee
Arthroplasty
Compartment syndromes
Complications
Online AccessGet full text

Cover

More Information
Summary:Compartment syndrome after total knee arthroplasty (TKA) is a rare complication. Because of its rarity, it may be overlooked and misdiagnosed as peroneal nerve palsy or deep vein thrombosis. This misdiagnosis could have a profound impact on the patient's outcome. We report a case of a 77-year-old female who developed unilateral compartment syndrome in the calf after staged bilateral TKA at an outside clinic. The patient presented with medical complications related to compartment syndrome: rhabdomyolysis and myoglobinuria, which caused acute renal failure. Thus, we performed late fasciotomy one week after symptom onset to debride necrotic tissue and salvage the compartment. In the discussion section, we will discuss risk factors for compartment syndrome after TKA, results of late fasciotomy and other indications for surgical treatment of compartment syndrome.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
G704-SER000010121.2014.26.3.001
ISSN:2234-0726
1225-1623
2234-2451
DOI:10.5792/ksrr.2014.26.3.177