• Med Princ Pract · Jan 2014

    Case Reports

    Well-leg compartment syndrome after fracture fixation in hemilithotomy position: case report of a preventable condition.

    • Sanjay Meena, Vivek Trikha, Pramod Saini, Nishikant Kumar, and Subhash Kr.
    • Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
    • Med Princ Pract. 2014 Jan 1; 23 (3): 275-8.

    ObjectiveTo report a case of subtrochanteric femur fracture that led to intraoperative compartment syndrome in the well leg.Clinical Presentation And InterventionA 28-year-old obese male who presented with a comminuted subtrochanteric fracture underwent a prolonged open reduction and internal fixation using dynamic condylar screw. In the postoperative period, after the effect of epidural analgesia had worn off, the patient complained of severe pain and swelling of the well leg. A diagnosis of well-leg compartment syndrome was made and urgent two-incision fasciotomy was performed.ConclusionObesity and prolonged surgery could have caused the acute compartment syndrome of the well leg in this patient.© 2013 S. Karger AG, Basel.

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