| Compartment syndrome following total knee arthroplasty: a report of seven cases. | |
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MedLine Citation:
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PMID: 16498006 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Compartment syndrome is a rare complication of total knee arthroplasty that requires early recognition and prompt decompression in order to prevent long-term disability. We have found only one previous case report in the literature. We present a series of seven cases from four hospitals and five surgeons. Six of the cases resulted in the loss of at least one compartment, and one resulted in amputation. Four of the cases resulted in legal action. We suggest that important risk factors contributing to the development of this condition include complex surgery, soft-tissue compromise, previous surgery, and possibly vascular disease. Delay in the diagnosis and hence delay in decompression was common in our series, and in five cases appeared to be related to the use of a postoperative epidural infusion for pain relief. The presence of associated neurological compromise may have also been a significant factor in the delay to diagnosis in two cases. |
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Authors:
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P Haggis; P Yates; C Blakeway; D Fick; D A F Morgan; M Holt; D Wood |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 88 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-02-24 Completed Date: 2006-04-27 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 331-4 Citation Subset: AIM; IM |
Affiliation:
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Whittington Hospital, Highgate Hill, London N19 5NF, UK. p.haggis@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Analgesia / methods Arthroplasty, Replacement, Knee / adverse effects*, methods Compartment Syndromes / diagnosis, etiology*, physiopathology Female Humans Male Middle Aged Postoperative Care / methods Pressure Risk Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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