Compartment Syndrome following Below-Knee Amputation
In the setting of below-knee amputation, compartment syndrome is a rare complication. Early clinical symptoms of an acute compartment syndrome following below-knee amputation can mimic or be masked by postoperative pain management. We present the case of a 38-year-old male with a significant past me...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/1256823 |
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| author | Adam S. Gerry Zachary K. Christopher Karan Patel Todd A. Kile Joshua S. Bingham |
| author_facet | Adam S. Gerry Zachary K. Christopher Karan Patel Todd A. Kile Joshua S. Bingham |
| author_sort | Adam S. Gerry |
| collection | DOAJ |
| description | In the setting of below-knee amputation, compartment syndrome is a rare complication. Early clinical symptoms of an acute compartment syndrome following below-knee amputation can mimic or be masked by postoperative pain management. We present the case of a 38-year-old male with a significant past medical history of Proteus syndrome who underwent an elective transtibial below-knee amputation. Following surgery, the patient had extensive postoperative pain and high pain medication requirements and returned to the operating room for irrigation and debridement due to suspicion of an infection. Upon return to the operating room to manage the infection, the necrotic tissue was discovered and removed which had developed due to a suspected missed acute compartment syndrome. The necrotic tissue secondary to the compartment syndrome subsequently resulted in infection. Multiple irrigation and debridement procedures were performed to further manage the infection, and ultimately, the patient was deemed stable for discharge. Acute compartment syndrome (ACS) following below-knee amputation (BKA) is a rarely documented but critical complication. This case describes the unique setting in which a compartment syndrome can be masked due to postoperative pain management and infection. Orthopedic surgeons should be aware of the varying risk factors and presentations of an acute compartment syndrome (ACS) as it can occur and is a devastating complication. |
| format | Article |
| id | doaj-art-c99446adc5e64e948218983b0bd1849f |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-c99446adc5e64e948218983b0bd1849f2025-02-03T06:06:49ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/1256823Compartment Syndrome following Below-Knee AmputationAdam S. Gerry0Zachary K. Christopher1Karan Patel2Todd A. Kile3Joshua S. Bingham4Midwestern University-Arizona College of MedicineDepartment of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsIn the setting of below-knee amputation, compartment syndrome is a rare complication. Early clinical symptoms of an acute compartment syndrome following below-knee amputation can mimic or be masked by postoperative pain management. We present the case of a 38-year-old male with a significant past medical history of Proteus syndrome who underwent an elective transtibial below-knee amputation. Following surgery, the patient had extensive postoperative pain and high pain medication requirements and returned to the operating room for irrigation and debridement due to suspicion of an infection. Upon return to the operating room to manage the infection, the necrotic tissue was discovered and removed which had developed due to a suspected missed acute compartment syndrome. The necrotic tissue secondary to the compartment syndrome subsequently resulted in infection. Multiple irrigation and debridement procedures were performed to further manage the infection, and ultimately, the patient was deemed stable for discharge. Acute compartment syndrome (ACS) following below-knee amputation (BKA) is a rarely documented but critical complication. This case describes the unique setting in which a compartment syndrome can be masked due to postoperative pain management and infection. Orthopedic surgeons should be aware of the varying risk factors and presentations of an acute compartment syndrome (ACS) as it can occur and is a devastating complication.http://dx.doi.org/10.1155/2022/1256823 |
| spellingShingle | Adam S. Gerry Zachary K. Christopher Karan Patel Todd A. Kile Joshua S. Bingham Compartment Syndrome following Below-Knee Amputation Case Reports in Orthopedics |
| title | Compartment Syndrome following Below-Knee Amputation |
| title_full | Compartment Syndrome following Below-Knee Amputation |
| title_fullStr | Compartment Syndrome following Below-Knee Amputation |
| title_full_unstemmed | Compartment Syndrome following Below-Knee Amputation |
| title_short | Compartment Syndrome following Below-Knee Amputation |
| title_sort | compartment syndrome following below knee amputation |
| url | http://dx.doi.org/10.1155/2022/1256823 |
| work_keys_str_mv | AT adamsgerry compartmentsyndromefollowingbelowkneeamputation AT zacharykchristopher compartmentsyndromefollowingbelowkneeamputation AT karanpatel compartmentsyndromefollowingbelowkneeamputation AT toddakile compartmentsyndromefollowingbelowkneeamputation AT joshuasbingham compartmentsyndromefollowingbelowkneeamputation |