Cargando…

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

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 ...

Descripción completa

Detalles Bibliográficos
Autores principales: Takahashi, Tsuneari, Handa, Mikiko, Takeshita, Katsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8741598/
https://www.ncbi.nlm.nih.gov/pubmed/35028359
http://dx.doi.org/10.1016/j.tcr.2021.100603
_version_ 1784629529546850304
author Takahashi, Tsuneari
Handa, Mikiko
Takeshita, Katsushi
author_facet Takahashi, Tsuneari
Handa, Mikiko
Takeshita, Katsushi
author_sort Takahashi, Tsuneari
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8741598
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-87415982022-01-12 Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report Takahashi, Tsuneari Handa, Mikiko Takeshita, Katsushi Trauma Case Rep Case Report 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. Elsevier 2022-01-03 /pmc/articles/PMC8741598/ /pubmed/35028359 http://dx.doi.org/10.1016/j.tcr.2021.100603 Text en © 2022 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Takahashi, Tsuneari
Handa, Mikiko
Takeshita, Katsushi
Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report
title Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report
title_full Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report
title_fullStr Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report
title_full_unstemmed Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report
title_short Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report
title_sort compartment syndrome after transtibial anterior cruciate ligament reconstruction: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8741598/
https://www.ncbi.nlm.nih.gov/pubmed/35028359
http://dx.doi.org/10.1016/j.tcr.2021.100603
work_keys_str_mv AT takahashitsuneari compartmentsyndromeaftertranstibialanteriorcruciateligamentreconstructionacasereport
AT handamikiko compartmentsyndromeaftertranstibialanteriorcruciateligamentreconstructionacasereport
AT takeshitakatsushi compartmentsyndromeaftertranstibialanteriorcruciateligamentreconstructionacasereport