Der Unfallchirurg
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Case Reports
[Compartment syndrome caused by rhabdomyolysis in the context of pychogenic polydipsia.]
Psychogenic polydipsia leading to severe hyponatremia is well documented in the literature. This electrolyte disorder can result in encephalopathy, cerebral edema and epileptic seizures. Another rare effect is rhabdomyolysis with all its well known complications (e.g. renal failure, hyperkalemia and cardiac arrhythmia) and even resulting in compartment syndrome due to severe muscle edema. We present the case of a patient with severe hyponatremia caused by psychogenic polydipsia leading to rhabdomyolysis and compartment syndrome.
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Using data between 2010 and 31 March 2012, a cohort study concerning complications of all discharged patients who had undergone surgery was performed. ⋯ Recording and evaluating of complications in surgery plays a major role for quality control. Certain factors (e.g., comorbidity and the age of the patient) cannot be influenced, but complications caused by technical problems could theoretically be avoided. Especially these cases must be analyzed in detail to reduce the percentage of complications requiring revision.
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Case Reports
[Aseptic acetabular necrosis with recurrent luxation of a bipolar hemiarthroplasty into the retroperitoneum.]
In comparison to aseptic osteonecrosis of the femoral head, the occurrence of aseptic acetabular osteonecrosis is extremely rare. This article reports the case of a 77-year-old woman with a large defect of the posterior acetabular wall (type 3 AAOS/D'Antonio score). We present an option for treatment in cases of a combination of osteonecrosis with implanted bipolar hemiarthroplasty.