Acute Compartment Syndrome of the Lower Leg Using Navigated Endoprosthesis of the Knee.

Abstract:

:Acute compartment syndrome of the lower leg following computer navigated primary total knee arthroplasty is rare but potentially devastating. This could be triggered by a setting of the bicortical tibial navigation pin. It is essential to take care during the operation, and to implement close post-operative control, especially if there are risk factors or nerve blocks. :Ein Kompartmentsyndrom des Unterschenkels bei navigierter Kniegelenksendoprothetik ist selten, es existieren nur vereinzelt Kasuistiken hierzu. Kommt es jedoch zu einem manifesten Kompartmentsyndrom, so ist dies eine schwerwiegende Komplikation mit teilweise verheerenden Verläufen. Vermutlicher Auslöser in unserem Fallbeispiel ist das traumatische Setzen eines bikortikalen tibialen Navigations-Pins. Die Sorgfältigkeit während der Operation, ebenso wie die engmaschige postoperative Kontrolle des Lokalbefundes, insbesondere beim Vorliegen von Risikofaktoren oder additiv gesetzten Regionalanästhesien, die das klinische Bild verschleiern können, sind essenziell und müssen dem Operateur sowie dem betreuenden Ärzte- und Pflegeteam stets bewusst sein.

journal_name

Z Orthop Unfall

authors

Schultz K,Kräbber M,Lazovic D,Maus U

doi

10.1055/a-1295-0249

subject

Has Abstract

pub_date

2020-12-17 00:00:00

eissn

1864-6697

issn

1864-6743

pub_type

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