Leg's Compartment Syndrome After Reconstruction of the Anterior Cruciate Ligament: Case Report

This article reports the use of elastic suture as an adjuvant in surgical wound closure caused by decompressive fasciotomy after compartment syndrome associated with a compound fracture of the tibia. Widely used in other medico-surgical specialties, this technique is unusual in orthopedics surgery, but the simplicity of the procedure and the successful outcome observed in this case allows for its consideration as indicated for situations similar to that presented in this study.

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“…Its severity is associated to the speed in which the pressure increases, its duration and the degree of tissue microcirculation impairment. 8 …”

Section: Discussionmentioning

confidence: 99%

Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

Branco

Cardoso

Rotbande

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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“…The pathogenesis is explained by the high intracompartmental pressure, at levels sufficient to compromise the microcirculation of tissues. 8 …”

Section: Discussionmentioning

confidence: 99%

Compartment syndrome after tibial plateau fracture

Pitta

Santos

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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Fractures of the tibial plateau are relatively rare, representing around 1.2% of all fractures. The tibia, due to its subcutaneous location and poor muscle coverage, is exposed and suffers large numbers of traumas, not only fractures, but also crush injuries and severe bruising, among others, which at any given moment, could lead compartment syndrome in the patient. The case is reported of a 58-year-old patient who, following a tibial plateau fracture, presented compartment syndrome of the leg and was submitted to decompressive fasciotomy of the four right compartments. After osteosynthesis with internal fixation of the tibial plateau using an L-plate, the patient again developed compartment syndrome.

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“…Compartment syndrome is rare after ACL reconstruction and one of the most devastating complications after surgery of the lower limb, with certain risks of renal failure, shock, and even death [1] . A recent literature search showed only a few relevant case reports [2] , [3] , and pneumatic tourniquet pressure and anesthetic nerve blocks might have been responsible in those cases. We report a case of compartment syndrome after transtibial ACL reconstruction performed with the patient under general anesthesia without pneumatic tourniquet application.…”

Section: Introductionmentioning

confidence: 99%

Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report

Takahashi¹,

Handa²,

Takeshita

2022

Trauma Case Reports

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Compartment syndrome is a rare complication after anterior cruciate ligament (ACL) reconstruction. This is one of the most devastating complications after surgery of the lower limb, with certain risks of renal failure, shock, and even death. We report a case of compartment syndrome that occurred 12 h after ACL reconstruction. A healthy 67-year-old male who underwent transtibial ACL reconstruction using autogenous hamstring tendon graft complained of progressive intense pain, paresthesia, and paresis. He had a pallid aspect and taut, shiny skin with several blisters around the medial aspect of the lower limb. Computed tomography revealed a hematoma that originated from the tibial bone tunnel. The patient was immediately referred for an urgent decompression fasciotomy. Hematoma debridement, medial fasciotomy, and negative-pressure wound therapy were performed. The patient recovered well and received routine postoperative physiotherapy.

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Leg's Compartment Syndrome After Reconstruction of the Anterior Cruciate Ligament: Case Report

Abstract: The authors report a case of a patient that was submitted to a surgery of reconstruction of anterior cruciate ligament and collateral medial ligament repair of the left knee that complicated to a compartment syndrome.

Cited by 5 publications

References 7 publications

Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

Compartment syndrome after tibial plateau fracture

Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report

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