Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy
The Journal of Korean Knee Society
; : 177-181, 2014.
Article
in En
| WPRIM
| ID: wpr-759139
Responsible library:
WPRO
ABSTRACT
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Paralysis
/
Peroneal Nerve
/
Arthroplasty
/
Rhabdomyolysis
/
Risk Factors
/
Compartment Syndromes
/
Venous Thrombosis
/
Diagnostic Errors
/
Acute Kidney Injury
/
Knee
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
The Journal of Korean Knee Society
Year:
2014
Type:
Article