Document Detail

Does oedema following lower limb revascularisation cause compartment syndromes?
MedLine Citation:
PMID:  3207329     Owner:  NLM     Status:  MEDLINE    
Oedema of the leg, particularly the calf, is a well-recognised complication following lower limb reconstructive vascular surgery, but its effect on the limb is unknown. In this study, anterior compartment pressures and calf circumference were measured in both the operated and non-operated limbs following femoropopliteal bypass in 15 patients. All the patients developed lower limb swelling, which was significantly greater than the non-operated limb, P less than 0.05 paired t test (day 2-5). There was a significant difference in the mean anterior compartment pressures between the operated and non-operated limbs on the third and fourth postoperative days for the overall and below knee group, P less than 0.05 (paired t test). However, none of the patients developed signs, symptoms or pressures indicative of a compartment syndrome. These results suggest that the oedema following reconstructive vascular surgery is subcutaneous rather than compartmental in origin and that compartment pressure measurements should only be undertaken if a fasciotomy is being contemplated.
D J Scott; M J Allen; P R Bell; M McShane; M R Barnes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  70     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1989-02-09     Completed Date:  1989-02-09     Revised Date:  2010-09-09    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  372-6     Citation Subset:  IM    
Department of Surgery, Leicester Royal Infirmary.
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MeSH Terms
Aged, 80 and over
Blood Vessel Prosthesis
Compartment Syndromes / etiology*,  physiopathology
Edema / complications*
Femoral Artery / surgery
Ischemia / surgery*
Leg / blood supply*
Middle Aged
Popliteal Artery / surgery
Postoperative Complications / etiology*

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

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