Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair
Acute compartment syndrome is a surgical emergency and its diagnosis is more difficult in obtunded or insensate patients. We present the case of a 34-year-old woman who sustained a Gustilo-Anderson grade III open midshaft femur fracture with an isolated femoral vein injury treated with direct repair...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/502657 |
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| _version_ | 1832560934919340032 |
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| author | David Walmsley Terry Axelrod Sebastian Rodriguez-Elizalde |
| author_facet | David Walmsley Terry Axelrod Sebastian Rodriguez-Elizalde |
| author_sort | David Walmsley |
| collection | DOAJ |
| description | Acute compartment syndrome is a surgical emergency and its diagnosis is more difficult in obtunded or insensate patients. We present the case of a 34-year-old woman who sustained a Gustilo-Anderson grade III open midshaft femur fracture with an isolated femoral vein injury treated with direct repair. She developed lower leg compartment syndrome at 48 hours postoperatively, necessitating fasciotomies. She was subsequently found to have a DVT in her femoral vein at the level of the repair and was started on therapeutic anticoagulation. This case highlights the importance of recognition of isolated venous injuries in a trauma setting as a risk factor for developing compartment syndrome. |
| format | Article |
| id | doaj-art-305db85896274e9490231560f32ebcd8 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-305db85896274e9490231560f32ebcd82025-02-03T01:26:22ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/502657502657Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute RepairDavid Walmsley0Terry Axelrod1Sebastian Rodriguez-Elizalde2Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Room 508-A, 149 College Street, Toronto, ON, M5T 1P5, CanadaSunnybrook Health Sciences Centre, University of Toronto, Room MG-371, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, CanadaHumber River Regional Hospital, 810 Wilson Avenue, Toronto, ON, M3K 1E5, CanadaAcute compartment syndrome is a surgical emergency and its diagnosis is more difficult in obtunded or insensate patients. We present the case of a 34-year-old woman who sustained a Gustilo-Anderson grade III open midshaft femur fracture with an isolated femoral vein injury treated with direct repair. She developed lower leg compartment syndrome at 48 hours postoperatively, necessitating fasciotomies. She was subsequently found to have a DVT in her femoral vein at the level of the repair and was started on therapeutic anticoagulation. This case highlights the importance of recognition of isolated venous injuries in a trauma setting as a risk factor for developing compartment syndrome.http://dx.doi.org/10.1155/2014/502657 |
| spellingShingle | David Walmsley Terry Axelrod Sebastian Rodriguez-Elizalde Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair Case Reports in Orthopedics |
| title | Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair |
| title_full | Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair |
| title_fullStr | Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair |
| title_full_unstemmed | Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair |
| title_short | Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair |
| title_sort | compartment syndrome following open femoral fracture with an isolated femoral vein injury treated with acute repair |
| url | http://dx.doi.org/10.1155/2014/502657 |
| work_keys_str_mv | AT davidwalmsley compartmentsyndromefollowingopenfemoralfracturewithanisolatedfemoralveininjurytreatedwithacuterepair AT terryaxelrod compartmentsyndromefollowingopenfemoralfracturewithanisolatedfemoralveininjurytreatedwithacuterepair AT sebastianrodriguezelizalde compartmentsyndromefollowingopenfemoralfracturewithanisolatedfemoralveininjurytreatedwithacuterepair |