Compartment syndrome of the calf following total knee arthroplasty—a case report of a highly unusual complication

Hailer, Nils P; Adalberth, Gunnar; Nilsson, Olle

doi:10.1080/17453670710013825

Cited by 20 publications

(33 citation statements)

References 7 publications

(10 reference statements)

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“…Compartment syndrome after TKA is extremely rare1,4,6). It can occur in the calf and/or thigh compartments remote from TKA sites: the blood from bones and soft tissue usually collects in the joint cavity or is drained outside through a drainage tube1,4,6,7).…”

Section: Discussionmentioning

confidence: 99%

“…It can occur in the calf and/or thigh compartments remote from TKA sites: the blood from bones and soft tissue usually collects in the joint cavity or is drained outside through a drainage tube1,4,6,7). Although the incidence of compartment syndrome after TKA is very low, certain risk factors have been identified.…”

Section: Discussionmentioning

confidence: 99%

“…In spite of this, compartment syndrome following total knee arthroplasty (TKA) is still an extremely rare complication4,6). Because of its rarity, it may be overlooked and misdiagnosed as peroneal nerve palsy or deep vein thrombosis4).…”

mentioning

confidence: 99%

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Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy

Park

Lee

Kang

et al. 2014

Knee Surg Relat Res

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy

Park

Lee

Kang

et al. 2014

Knee Surg Relat Res

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“…Compartment syndrome complicating knee arthroscopy is documented (Kim et al, 2002, Mont et al, 1996, but it is only rare after total joint replacement and a specific cause in these cases cannot always be identified (Hailer et al, 2007). Some reports are published on compartment syndrome after TKA.…”

Section: Discussionmentioning

confidence: 99%

Compartment Syndrome, Femoral Nerve Lesion and Recurrent Haemarthrosis in one and the same Patient after Total Knee Arthroplasty

Boonen¹,

Kerens²,

Schotanus³

et al. 2013

IJCRM

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We present a case of a 53 year old patient that underwent total knee arthroplasty in our hospital for degenerative arthritis and developed a series of very uncommon complications. Compartment syndrome of the calf occurred postoperatively as a result of bleeding from a large, ruptured knee joint cyst. Femoral nerve lesion was diagnosed and was most likely the result of traumatic migration of the femoral nerve catheter in the nerve sheet. Finally, our patient suffered from recurrent haemarthrosis in which anticoagulant therapy is thought to have played a key role.This series of very uncommon complications occurring in one and the same patient stresses the importance for orthopaedic surgeons to continuously and carefully monitor their patients postoperatively in order to adequately diagnose complications, also the rare ones, and to take appropriate measurements to minimize dramatic outcomes of these complications.

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“…Tornetta and French [23] in a prospective case control study examined the changes in compartmental pressure in the anterior compartment of the tibia in 58 acute [31][32][33][34] Total hip arthroplasty [8,16,35,36] Arthroscopy [37][38][39] Intensive use of muscles (exercise induced CS) [40][41][42][43][44][45] Post ischemic reperfusion [46,47] Anticoagulants [48][49][50] Diabetes mellitus [51][52][53] Hypothyroidism [54] Leukemia [55] Sickle cell anemia [56] Nephritic syndrome [57] Venous obstruction [58] Popliteal cysts [59] Burns [60][61][62][63][64] Snakebites [65,66] Cold [67] Externally applied pressure Tight casts, dressing [68,69] Lying on limb (lithotomy position) [70][71][72][73]…”

Section: Intramedullary Nailingmentioning

confidence: 99%

Compartment Syndrome of the Lower Extremity

Hessmann

Ingelfinger²,

Rommens

2007

Eur J Trauma Emerg Surg

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Acute compartment syndrome of the lower extremity is a limb-threatening emergency that requires prompt surgical treatment. Early detection and decompression are necessary in order to avoid irreversible damage. In the lower extremity, compartment syndrome may occur around the pelvis, in the thigh, the lower leg or the foot. Acute compartment syndrome of the lower leg is most common. Sometimes, combined compartment syndromes of neighbouring skeletal regions are observed. In this review, the specific clinical symptoms as well as the anatomic and therapeutic characteristics of the acute compartment syndrome of the lower extremity are described.

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Compartment syndrome of the calf following total knee arthroplasty—a case report of a highly unusual complication

Cited by 20 publications

References 7 publications

Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy

Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy

Compartment Syndrome, Femoral Nerve Lesion and Recurrent Haemarthrosis in one and the same Patient after Total Knee Arthroplasty

Compartment Syndrome of the Lower Extremity

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