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- Simon Huang, David Gateley, and Anthony L H Moss.
- Department of Plastic and Reconstructive Surgery, St. George's Hospital, London, England.
- Arthroscopy. 2007 Dec 1; 23 (12): 1363.e1-3.
AbstractA case is described in which hot irrigation fluid used during a routine knee arthroscopy caused severe morbidity. The patient sustained full-thickness skin burns requiring debridement, a muscle flap, and split-skin grafting. The extent of the joint damage required fusion. The underlying factors included equipment failure but also a delay in appreciating the severity of the soft-tissue damage. This case highlights the need for a robust protocol for the management of warming the irrigation fluid, as well as monitoring the actual fluid temperature.
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