• J Orthop Trauma · Jan 1987

    Case Reports

    Compartment syndrome of the thigh complicating surgical treatment of ipsilateral femur and ankle fractures.

    • M R Moore, S R Garfin, and A R Hargens.
    • Division of Orthopaedics and Rehabilitation, University of California, San Diego Medical Center 92103.
    • J Orthop Trauma. 1987 Jan 1;1(1):71-3.

    AbstractA 26-year-old man presented with ipsilateral femur and ankle fractures. The patient was treated with interlocking nail of his femur fracture, followed by open reduction and internal fixation of his ankle fracture under tourniquet control. Postoperatively, the patient developed compartment syndrome of his thigh with elevated pressures, requiring decompressive fasciotomies. This case illustrates the possible complication of treating a femur fracture with intramedullary nailing and then immediately applying a tourniquet to treat an ipsilateral extremity fracture. Because of the complication with this patient, we feel the procedure should be staged, or a tourniquet should be avoided if possible.

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