Document Detail

Compartment syndrome following total knee arthroplasty: a report of seven cases.
MedLine Citation:
PMID:  16498006     Owner:  NLM     Status:  MEDLINE    
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.
P Haggis; P Yates; C Blakeway; D Fick; D A F Morgan; M Holt; D Wood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2006-02-24     Completed Date:  2006-04-27     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  331-4     Citation Subset:  AIM; IM    
Whittington Hospital, Highgate Hill, London N19 5NF, UK.
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MeSH Terms
Analgesia / methods
Arthroplasty, Replacement, Knee / adverse effects*,  methods
Compartment Syndromes / diagnosis,  etiology*,  physiopathology
Middle Aged
Postoperative Care / methods
Risk Factors
Treatment Outcome

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