Document Detail


Accumulation of irrigation fluid in the calf as a complication during high tibial osteotomy combined with simultaneous arthroscopic anterior cruciate ligament reconstruction.
MedLine Citation:
PMID:  10564866     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Extravasation of irrigation fluid during arthroscopy is a well-known complication. We report a case of accumulation of fluid into the calf during open wedge high tibial osteotomy combined with simultaneous arthroscopic anterior cruciate ligament (ACL) reconstruction. The main cause for fluid extravasation was the drilling of the tibial tunnel, which allowed the fluid to cross the osteotomy gap and invade the flexor compartments. Although an elevation of the intracompartmental pressure was measured, there was no clinical evidence of compartment syndrome. A subcutaneous release of the flexor compartment of the leg was performed. The patient suffered no further sequelae. High tibial osteotomy combined with simultaneous arthroscopic ACL reconstruction has to be performed carefully, and potential complications must be detected immediately to prevent compartment syndrome.
Authors:
C B Marti; R P Jakob
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  15     ISSN:  0749-8063     ISO Abbreviation:  Arthroscopy     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  1999-12-08     Completed Date:  1999-12-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  864-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Hôpital Cantonal, Fribourg, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament / surgery*
Arthroscopy*
Extravasation of Diagnostic and Therapeutic Materials / etiology*
Humans
Intraoperative Complications / etiology*
Irrigation
Male
Osteotomy / methods*
Reconstructive Surgical Procedures
Tibia / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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