High risk of rhabdomyolysis and acute kidney injury after traumatic limb compartment syndrome.


PURPOSE:Rhabdomyolysis often occurs after traumatic compartment syndrome, and high morbidity and mortality have been reported with the acute kidney injury that develops subsequently. We focused on the risk factors for rhabdomyolysis and acute kidney injury in patients with traumatic compartment syndrome. We also analyzed the relation between renal function and rhabdomyolysis in these patients. MATERIALS AND METHODS:A retrospective chart review was conducted from January 2006 to March 2012. Inpatients with traumatic compartment syndrome were included. We evaluated patients' demographics, history of illicit drugs use or alcohol consumption, mechanism of injury, symptoms, serum creatine kinase levels, and kidney function. RESULTS:A total of 52 patients with a mean age of 40.9 years were included; 23 patients had rhabdomyolysis (44.2%), of which 9 patients developed acute kidney injury (39.1%). Significant predictive factors for rhabdomyolysis were history of illicit drugs or alcohol use (P=0.039; odds ratio, 5.91) and ischemic injury (P=0.005). We found a moderate correlation between serum creatine kinase levels and serum creatinine levels (R=0.57; P<0.0001). The correlation coefficient (R) between serum creatine kinase levels and the estimated creatinine clearance rate was -0.45. Rhabdomyolysis was a predisposing factor for acute kidney injury (P=0.011; odds ratio, 8.68). Four patients with rhabdomyolysis required a short period of renal replacement therapy. CONCLUSION:A high percentage of patients with traumatic compartment syndrome developed rhabdomyolysis (44.2%). Patients with rhabdomyolysis had a higher possibility of developing acute kidney injury (39.1%), and rhabdomyolysis was correlated to renal function. Early diagnosis, frequent monitoring, and aggressive treatment are suggested once compartment syndrome is suspected. The overall prognosis is good with early diagnosis and proper treatment.


Ann Plast Surg


Tsai WH,Huang ST,Liu WC,Chen LW,Yang KC,Hsu KC,Lin CT,Ho YY




Has Abstract


2015-05-01 00:00:00








74 Suppl 2


  • An Evaluation of Different Bridging Techniques for Short Nerve Gaps.

    abstract:BACKGROUND:In this study, we investigated sensory and motor outcomes for different bridging techniques for short nerve gaps. MATERIAL AND METHODS:This study was conducted in the Postdoctoral Department of Burns, Plastic, and Reconstructive Surgery of our institution from August 2014 to May 2017. All patients with post...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Ahmad I,Mir MA,Khan AH

    更新日期:2017-11-01 00:00:00

  • Steeple flap reconstruction of the lower lip.

    abstract::A new method of lower lip reconstruction using a full-thickness cheek island flap based on the facial vessels is described. The functional potential of the method is assessed in six patients. The technique outlined is simple in design and execution. It is capable of total lower lip reconstruction without appreciable m...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Stranc MF,Robertson GA

    更新日期:1983-01-01 00:00:00

  • Axillary Lymph Node Dissection Is a Risk Factor for Major Complications After Immediate Breast Reconstruction.

    abstract:BACKGROUND:Complications after immediate breast reconstruction pose a significant challenge to the reconstructive surgeon. Known risk factors include smoking, obesity, age, and adjuvant oncologic therapies. Less is known about the association between axillary lymph node dissection (ALND) and the development of postoper...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Madsen RJ,Esmonde NO,Ramsey KL,Hansen JE

    更新日期:2016-11-01 00:00:00

  • Fasciocutaneous flap coverage for periolecranon defects.

    abstract::Soft tissue defects in the periolecranon region are difficult to manage by standard techniques such as closure by approximation, split-thickness skin grafting, or healing by secondary intention. We employed cadaver injections and dissections to study the vascular anatomy of the periolecranon region in search of a suit...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Bunkis J,Ryu RK,Walton RL,Epstein LI,Vasconez LO

    更新日期:1985-04-01 00:00:00

  • Frontal sinus fracture following osteoplastic frontal sinus obliteration.

    abstract::A patient who sustained frontal sinus fracture and who earlier had undergone an osteoplastic fat obliteration procedure is described. The literature is reviewed and recommendations are made for management of this and other cases of frontal sinus fractures with posterior table involvement. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Gerson RM,Friduss M,Schultz RC

    更新日期:1986-08-01 00:00:00

  • Surgical Management of Migraine Headaches: A Systematic Review and Meta-analysis.

    abstract:BACKGROUND:The aim of the present study was to systematically review and analyze the available evidence on the role of surgery in improving outcomes in patients with migraine headaches. METHODS:An electronic search of PubMed, Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), and Google Scholar database...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,meta分析


    authors: Nagori SA,Jose A,Roychoudhury A

    更新日期:2019-08-01 00:00:00

  • Surgical treatment of genital Paget's disease in men.

    abstract::Twenty-one men with genital Paget's disease were treated in our clinic from 1968 to 1983. We report our policy regarding treatment of the clinical disorder, particularly our surgical approach. We also stress that, when considering treatment, the circumstances of the aged patients should take precedence over aggressive...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Wada H,Urabe H

    更新日期:1984-09-01 00:00:00

  • Cosmetic surgery reality TV viewership: relations with cosmetic surgery attitudes, body image, and disordered eating.

    abstract:BACKGROUND:According to the American Society of Plastic Surgeons (2007), the number of cosmetic procedures has increased to over 10 million in 2006, representing a 48% increase from 2000. This increase in cosmetic surgery prevalence is paralleled by a surge in reality cosmetic surgery television programming. METHODS:T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Sperry S,Thompson JK,Sarwer DB,Cash TF

    更新日期:2009-01-01 00:00:00

  • Nodal metastatic melanoma in the neck of a 4-year-old girl after diagnosis of Spitz nevus of the cheek.

    abstract::A 4-year-old girl was referred to the plastic surgery unit with metastatic malignant melanoma diagnosed in a cervical lymph node. She had previously undergone excision of a Spitz nevus of the cheek at age 18 months. The management of this patient is discussed along with a review of the literature relating to Spitz nev...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Reynolds N,Ali-Khan AS,Rigby H,Orlando A

    更新日期:2003-05-01 00:00:00

  • Benefits of the Retrocaruncular Approach to the Medial Orbit: A Clinical And Anatomic Study.

    abstract:BACKGROUND:Current trends in the management of medial orbital wall fractures are toward the development of transconjunctival incisions and the use of endoscopic-assisted methods. Different authors have suggested variations of the medial transconjunctival approach. METHODS:(1) In 30 fresh cadaver orbits, the classic tr...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Kempton SJ,Cho DC,Thimmappa B,Martin MC

    更新日期:2016-03-01 00:00:00

  • Limb salvage of infected knee reconstructions for cancer with staged revision and free tissue transfer.

    abstract:UNLABELLED:Periprosthetic infections of oncologic reconstructions have an amputation rate between 37% and 87%. Eleven patients with an infected knee reconstruction following limb salvage surgery for cancer were treated with the staged protocol. All patients underwent prosthetic removal and implantation of an antibiotic...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Manoso MW,Boland PJ,Healey JH,Cordeiro PG

    更新日期:2006-05-01 00:00:00

  • Rapid 3-dimensional anthropometry by semiautomatic data acquisition and processing.

    abstract::A semiautomatic anthropometric caliper was developed to accelerate and simplify anthropometric data acquisition. A technical slide caliper, connected via optical data cable interface to a standard PC, was amended with a data-input switch. A data sheet was filled in with consecutive measurements in 30 volunteers and co...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Landes CA,Trolle M,Sader R

    更新日期:2007-06-01 00:00:00

  • Versatility of Pedicled Perforator-Based V-Y Advancement Flaps for Reconstruction of the Upper Limb: A Case Series and Review of the Literature.

    abstract:INTRODUCTION:The aim of any reconstruction is to provide a robust and cosmetically pleasing result that does not significantly alter function. We describe our experience of using the V-Y principle in advancement flaps designed around a distinct perforator to reconstruct soft tissue defects of the upper limb. The shortc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Kennedy AM,Lloyd MS,Niranjan NS

    更新日期:2020-05-01 00:00:00

  • Transcatheter Arterial Embolization in the Treatment of Maxillofacial Fractures With Life-Threatening Hemorrhage.

    abstract:INTRODUCTION:Transcatheter arterial embolization (TAE) has gained importance in the management of maxillofacial fractures with life-threating hemorrhage (MFH). However, clinical evidence supporting the use of TAE has not been clearly established in the literature. Therefore, we evaluated the effectiveness of TAE for MF...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Matsumoto S,Akashi T,Hayashida K,Sekine K,Orita T,Funabiki T,Kitano M

    更新日期:2018-06-01 00:00:00

  • On the origin of pedicled skin inversion vaginoplasty: life and work of Dr Georges Burou of Casablanca.

    abstract::The first reports on gender-confirming surgery had been published in Germany in the 1920s, but it took some 30 years before sex reassignment surgery for transsexuals became generally known. Initially, such surgery was performed mostly in Europe and Casablanca. In 1956, the gynecologist Dr Georges Burou (1910-1987) ind...

    journal_title:Annals of plastic surgery

    pub_type: 传,历史文章,杂志文章


    authors: Hage JJ,Karim RB,Laub DR Sr

    更新日期:2007-12-01 00:00:00

  • Toward an understanding of nonsyndromic craniosynostosis: altered patterns of TGF-beta receptor and FGF receptor expression induced by intrauterine head constraint.

    abstract::Although the etiology of nonsyndromic forms of craniosynostosis remains uncertain, recent experiments from our laboratory have demonstrated that fetal head constraint induces cranial suture fusion in mice through a process associated with altered patterns of transforming growth factor beta (TGF-beta) isoform expressio...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Hunenko O,Karmacharya J,Ong G,Kirschner RE

    更新日期:2001-05-01 00:00:00

  • Lateral-dorsal neurovascular island flaps for pulp reconstruction.

    abstract::Finger pulp loss is often observed in daily practice. When the lateral and dorsal surfaces of the injured digit remain intact, a neurovascular island flap can be designed and raised from that part of the finger for pulp reconstruction. Two types of homodigital lateral-dorsal neurovascular island flaps were used in 17 ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Chen CT,Wei FC

    更新日期:2000-12-01 00:00:00

  • Low Versus High Vacuum Suction Drainage of the Submuscular Pocket in Primary Breast Reconstruction: A Retrospective Study.

    abstract:BACKGROUND:Placement of suction drainage in submuscular pockets is routinely performed in breast reconstruction. Days of drain permanence (DDP) are associated with hospital stay and related health care costs. The aims of this study are to retrospectively compare data related to DDP and total drainage volume between hig...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Pagliara D,Maxia S,Faenza M,Dessena L,Campus G,Rubino C

    更新日期:2018-04-01 00:00:00

  • Anesthesia for outpatient head and neck aesthetic surgery.

    abstract::An approach to outpatient anesthesia using drugs that have reversible or very short-acting effects is described, along with a method of monitoring patients using pulse rate to assess tranquility. Preoperatively, the patient is given 1 mg of lorazepam the evening before surgery and sublingual lorazepam 1 mg combined wi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Silver H,Codesmith AO

    更新日期:1980-12-01 00:00:00

  • Lower facial recontouring in craniofacial asymmetry.

    abstract::The secondary correction of facial asymmetry due to early posterior cranial deformation is presented. The combination of mandibular skeletal reduction of the gonial angle and inferior border, masseter muscle thinning, and auricular setback can be an effective camouflage technique when the facial skeleton and occlusion...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Eppley BL,Elluru R,Sadove AM

    更新日期:1992-11-01 00:00:00

  • Chain saw injuries to the face.

    abstract::Chain saws may produce devastating facial injuries when the blade kicks back after striking a hard object. A review of experience with 12 male patients indicates that in addition to extensive ragged lacerations of skin and soft tissues, bone and teeth are frequently fractured. Eye injuries are rare, but the eyelids ma...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Riefkohl R,Georgiade GS,Barwick WJ

    更新日期:1986-02-01 00:00:00

  • Nonendoscopic harvest of the gastrocnemius muscle flap through a small incision.

    abstract::Traditional gastrocnemius flap harvest requires a long skin incision, starting from the popliteal fossa to the mid leg. The authors designed three instruments to facilitate harvest of this flap through a small incision without the help of an endoscope in 10 patients. All 10 gastrocnemius muscle flaps survived with a 1...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Tsai CC,Lin TM,Lai CS,Lin SD

    更新日期:2001-08-01 00:00:00

  • Computed tomography versus standard radiography in the assessment of fractures of the mandible.

    abstract::Twenty-nine fractures of the mandible were studied by standard radiographs and axial computed tomographic scans (hard copy). Independent reviewers analyzed each study in a blinded, non-paired fashion. When radiographic diagnostic sensitivities were compared on the basis of known surgical findings, the plain films were...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Creasman CN,Markowitz BL,Kawamoto HK Jr,Cohen S,Kioumehr F,Hanafee WN,Shaw WW

    更新日期:1992-08-01 00:00:00

  • Functional Outcomes of Surgical Management of Mandibular Condylar Head Fractures.

    abstract:BACKGROUND:Various procedures have been described for the management of mandibular condylar head fracture, but a standard treatment is not yet conclusive. This report describes our experience with osteosynthesis of condylar head fracture at Linkou Chang Gung Memorial Hospital. METHODS:Sixteen patients with unilateral ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Lai BR,Liao HT

    更新日期:2020-01-01 00:00:00

  • Zone of injury: a valid concept in microvascular reconstruction of the traumatized lower limb?

    abstract::Microvascular reconstruction at the lower extremity for complex composite wounds has traditionally been predicated upon performance of the microanastamosis beyond the so-called "zone of injury." Failure to do so was believed to account for increased rates of vessel thrombosis and transplant loss. Extensive vessel diss...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Isenberg JS,Sherman R

    更新日期:1996-03-01 00:00:00

  • Efficacy of triamcinolone acetonide following neurorrhaphy-an electroneuromyographic evaluation.

    abstract::A primate model to test the effects of triamcinolone acetonide on reinnervation after neurorrhaphy was developed. Reinnervation was assessed in triamcinolone- and placebo-treated nerves. Twelve months after neurorrhaphy, nerves treated with triamcinolone had a faster conduction velocity; a greater amplitude in the evo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Graham WP 3rd,Davis TS,Miller SH,Rusenas I

    更新日期:1982-09-01 00:00:00

  • Influence of Large-Volume Liposuction on Metabolic and Cardiovascular Health: A Systematic Review.

    abstract:BACKGROUND:Evidence suggesting that adipose tissue is a metabolically active tissue has generated debate on the effects of large-volume liposuction (LVL) on metabolic and cardiovascular health. Given the inconsistency in the literature, the authors performed a systematic review to identify available evidence in order t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Sailon AM,Wasserburg JR,Kling RR,Pasick CM,Taub PJ

    更新日期:2017-12-01 00:00:00

  • Professional burnout among US plastic surgeons: results of a national survey.

    abstract:PURPOSE:Little is known about professional burnout among plastic surgeons. Our purpose is to describe its prevalence among a large national sample of plastic surgeons and identify contributing factors. METHODS:A mailed, self-administered survey was sent to 708 plastic surgeons who were randomly sampled from the Americ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Streu R,Hansen J,Abrahamse P,Alderman AK

    更新日期:2014-03-01 00:00:00

  • Embolization in high-flow arteriovenous malformations of the face.

    abstract::Five patients with arteriovenous malformations of the face (4 males and 1 woman; age range, 11-38 years) were treated by selective embolization through the feeding arteries with polyvinyl alcohol particles. Immediate gross angiographical obliteration was obtained in 4 patients, with pronounced reduction of the arterio...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Komiyama M,Khosla VK,Yamamoto Y,Tazaki H,Toyota N

    更新日期:1992-06-01 00:00:00

  • Approaches to Distal Upper-Extremity Trauma: A Comparison of Plastic, Orthopedic, and Hand Surgeons in Academic Practice.

    abstract:BACKGROUND:Hand trauma call duties at university medical centers are traditionally split among plastic surgeons and orthopedic surgeons, frequently without additional fellowship training in hand and upper-extremity surgery. Differences in operative approach between these groups have never been specifically described. T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Dasari CR,Sandhu M,Wisner DH,Wong MS

    更新日期:2016-05-01 00:00:00