Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy
10.5792/ksrr.2014.26.3.177
- Author:
Cheol Hee PARK
1
;
Seung Hyuk LEE
;
Dong Geun KANG
;
Kye Youl CHO
;
Sang Hak LEE
;
Kang Il KIM
Author Information
1. Department of Orthopaedic Surgery, Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea. drkim@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Knee;
Arthroplasty;
Compartment syndromes;
Complications
- MeSH:
Acute Kidney Injury;
Aged;
Arthroplasty;
Compartment Syndromes;
Diagnostic Errors;
Female;
Humans;
Knee;
Myoglobinuria;
Paralysis;
Peroneal Nerve;
Rhabdomyolysis;
Risk Factors;
Venous Thrombosis
- From:The Journal of Korean Knee Society
2014;26(3):177-181
- CountryRepublic of Korea
- Language:English
-
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.
