A new complication of femur head core decompression surgery: compartment syndrome | [Journal of Pakistan Medical Association • 2020]

Author(s):

1. Sadettin Ciftci: Department of Orthopaedics,Selçuk Unıvercity, Konya,Turkey

2. Ali Gulec: Department of Orthopaedics,Selçuk Unıvercity, Konya,Turkey

3. Numan Mercan: Department of Orthopaedics,Selçuk Unıvercity, Konya,Turkey

4. Ahmet Yildrim: Department of Orthopaedics,Selçuk Unıvercity, Konya,Turkey

Abstract:

The basic surgical treatment for avascular necrosis of the femur head is core decompression. In this report we discuss a case where the patient developed compartment syndrome after core decompression surgery with history of anticoagulant use. A 49-year-old man, who was using Coumadin 5 mg once daily due to aortic valve replacement and atrial fibrillation, had undergone core decompression surgery done due to stage 2 femur head avascular necrosis (AVN). He later developed isolated anterior thigh compartment syndrome for which fasciotomy was performed. Every surgical intervention to the extremities of patients with anticoagulant treatment should be considered high risk for compartment syndrome, even if appropriate precautions are taken. It is necessary to clinically observe for a sufficient duration to be able to identify symptoms.

Page(s): 1642-1644

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 70, Issue: 9, Year: 2020

Keywords:

Compartment Syndrome , core decompression , avascular necrosis

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