Rhabdomyolysis after tourniquet use in proximal tibial osteotomy: a case report and review of the literature

Türkmen, İsmail; Esenkaya, Irfan; Unay, Koray; Akçal, Mehmet Akif

doi:10.3944/aott.2015.13.0117

Cited by 8 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The clinical view had improved markedly at postoperative month 7, but the femoral muscles were atrophied compared with the other side. We associated the formation of rhabdomyolysis with the use of a tourniquet [23]. We observed a loss in the degree of improvement in 1 patient.…”

Section: Discussionmentioning

confidence: 99%

A Patellar Tendon Length Conserving Method: Biplanar Retrotubercle Opening-Wedge Proximal Tibial Osteotomy

Türkmen

Esenkaya

2018

North Clin Istanbul

Self Cite

View full text Add to dashboard Cite

OBJECTIVE:The early-period results of our technique for performing a medial biplanar retrotubercle open-wedge proximal tibial osteotomy for the surgical treatment of varus gonarthrosis were evaluated and compared with those reported in the literature.METHODS:The clinical and radiological results of a medial biplanar retrotubercle open-wedge proximal tibial osteotomy performed on 23 knees in 22 patients with medial gonarthrosis with varus alignment were analyzed.RESULTS:Twenty patients were female and 2 were male. At the time of surgery, the mean age was 56.22 years (44–66 years), the mean body mass index was 31.95 kg/m2 (23.4–44.9 kg/m2), and the mean Hospital for Special Surgery (HSS) score was 68.7 (48–83). The mean preoperative femorotibial anatomical axis angle was 186.39° (173–194°), and the mean Insall-Salvati index value was 1.04 (0.94–1.171). The mean length of follow-up was 30.19 months (6–42 months). At the last follow-up examination, the mean HSS score was 86.48 (74–100), the mean femorotibial anatomical axis angle was 175° (168–171°), and the mean Insall-Salvati index value was 1.06 (0.857–1.32). Comparison of the final follow-up values with the preoperative values demonstrated significant improvement in the HSS score and femorotibial anatomical axis angle, but no significant difference in the Insall-Salvati index value.CONCLUSION:The results of this study indicated that frontal and sagittal plane deformities in patients with varus gonarthrosis can be treated with biplanar retrotubercle open-wedge proximal tibial osteotomy with good clinical results that achieve patellar tendon length stability and avoid patellofemoral problems.

show abstract

Section: Discussionmentioning

confidence: 99%

A Patellar Tendon Length Conserving Method: Biplanar Retrotubercle Opening-Wedge Proximal Tibial Osteotomy

Türkmen

Esenkaya

2018

North Clin Istanbul

Self Cite

View full text Add to dashboard Cite

show abstract

“…[51] Ayrıca Türkmen ve ark., 55 yaşında bir kadın hastada proksimal tibial osteotomi sonrasında pnömotik turnike kullanımına bağlı akut rabdomiyoliz olgusu saptamışlardır. [52]…”

Section: Kırıklarunclassified

Diz çevresi osteotomileri; komplikasyonlar, komplikasyonlardan korunma ve çözümleri

Doral¹,

Ayık²,

Karagüven³

2020

TOTBID

View full text Add to dashboard Cite

Türk Ortopedi ve Travmatoloji Birliği Derneği kompartmandan iletilmekte ve kıkırdak, subkondral kemik ve medial menisküste anormal bir strese neden olmaktadır. [2] Genelde medialden başlayan diz osteoartriti adeta bir kısır döngü halinde eklemin tamamına yayılmaktadır. Yüksek tibial osteotomi (YTO) ise bu kısır döngüyü, yükü lateral kompartmana kaydırarak kırma şansına sahiptir. Böylelikle dejenerasyonun önüne geçilmeye çalışılır. [3] YTO'nun temel olarak üç yöntemi vardır;• Kapalı kama,• Açık kama,• Kubbe yani "dome" osteotomisi. [4] A lt ekstremite mekanik aksı (ekseni), diz ekleminin kıkırdak yüzeylerinin aşınma durumu için önemlidir. Tarihsel süreçte diz çevresi osteotomileri, özellikle unikompartmantal diz osteoartritinin tedavi yöntemlerinden biri olmuştur. Fakat artroplastideki güncel gelişmeler ve yeni implantlar, osteotomiye olan ilgiyi azaltmaktaydı. Son yıllarda eklemin doğal durumunu korumak, gelecekteki olası artroplasti seçeneğini geciktirmek veya önlemek amacıyla unikompartmantal kondral patolojisi ve mekanik uyumsuzluğu olan genç hastalarda diz çevresi osteotomilerine olan ilgi tekrar artmıştır. Dizde varus deformitesi, osteoartritte en sık görülen mekanik dizilim bozukluğudur. [1] Alt ekstremitede varus dizilimi olduğu zaman ise yük anormal şekilde medial tibiofemoral Diz çevresi osteotomileri; komplikasyonlar, komplikasyonlardan korunma ve çözümleri Osteotomies around the knee; complications, prevention, and solutions

show abstract

“…50 Furthermore, the onset of extensive muscle damage can lead to systemic lethal pathologies associated with inflammatory syndromes, acidosis, hyperkalemia or rhabdomyolysis-induced renal impairment associated with myoglobinurea. 51 In this context, Turkmen et al 52 recently were the first to report an extensive rhabdomyolysis after proximal tibial osteotomy by using a pneumatic thigh tourniquet, illustrating the importance to improve surgical tourniquet application. Therefore, to classify the potential pathological impact on skeletal muscle physiology, it is important to illustrate the underlying mechanisms of tourniquet application.…”

Section: Endogenous Iatrogenic: Tourniquet's Adverse Effectsmentioning

confidence: 99%

Soft-tissue damage during total knee arthroplasty

Mayer

Franz

Harmsen

et al. 2017

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

Rhabdomyolysis after tourniquet use in proximal tibial osteotomy: a case report and review of the literature

Cited by 8 publications

References 7 publications

A Patellar Tendon Length Conserving Method: Biplanar Retrotubercle Opening-Wedge Proximal Tibial Osteotomy

A Patellar Tendon Length Conserving Method: Biplanar Retrotubercle Opening-Wedge Proximal Tibial Osteotomy

Diz çevresi osteotomileri; komplikasyonlar, komplikasyonlardan korunma ve çözümleri

Soft-tissue damage during total knee arthroplasty

Contact Info

Product

Resources

About