Acute compartment syndrome of the lower extremity: an update

Tzioupis, C.; Cox, George N.; Giannoudis, Peter V.

doi:10.1016/j.mporth.2009.09.003

Cited by 16 publications

(17 citation statements)

References 91 publications

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“…In recognizing compartment syndrome, medical school teaches us to look for the six classic ‘Ps’, pain, pressure, pallor, paralysis, paraesthesia and pulselessness. Pain is the most reliable sign , and in this context, is first demonstrated when the patient wakes in recovery. The pain is typically not adequately controlled with narcotic analgesia.…”

Section: Discussionmentioning

confidence: 99%

“…The pain is typically not adequately controlled with narcotic analgesia. The other ‘Ps’ manifest later in the progression of the cascade, and while worth checking for, their absence does not exclude LLCS . As outcomes from decompressive fasciotomy become poorer with increasing time , a high index of suspicion is required in patients with leg pain in recovery and urgent specialist attention should be sought where there is concern.…”

Section: Discussionmentioning

confidence: 99%

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Lower limb compartment syndrome as a complication of robot‐assisted radical prostatectomy: theUKexperience

2013

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Objective• To evaluate the incidence of lower limb compartment syndrome (LLCS) in robot-assisted radical prostatectomy (RARP) and the prevalence of risk factors in patients with LLCS. Methods• Data were collected from 17 UK robotic surgery institutions for a multicentre analysis.• Data were used to calculate the incidence of LLCS and the prevalence of risk factors. Results• A total of 3110 RARPs were performed by 17 institutions between 2004 and 2011.• There were nine cases of LLCS, giving an incidence of 0.29%. Seven of these required fasciotomy.• The prevalence of risk factors was as follows: console time >4 h in 8/9 cases, early learning curve (<20 cases) in 3/9 cases; obesity (BMI >30 kg/m 2 ) in 5/9 cases; and peripheral vascular disease in 2/9 cases. One patient with LLCS was positioned incorrectly. Conclusions• The serious complication LLCS occurs in RARP but has a low incidence.• Long operating times, surgical inexperience, poor patient positioning, obesity and vascular disease appear to be risk factors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lower limb compartment syndrome as a complication of robot‐assisted radical prostatectomy: theUKexperience

2013

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“…CS is considered a real orthopaedic/traumatology emeregency 1 . There are several pathophysiologic theories for describing this syndrome including the arteriovenous gradient theory and the ischemia-reperfusion syndrome 2 .…”

Section: Introductionmentioning

confidence: 99%

Compartment syndrome and regional anaesthesia: Critical review

Klučka¹,

Štourač²,

Štouračová³

et al. 2017

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…No major change in the theory of the underlying pathophysiology has been observed in the last decades [4][5][6][7][8]. It may be caused by either a volume increase within a closed fascial space, or externally applied pressure that compresses muscular structures8.…”

Section: Introductionmentioning

confidence: 99%