Management of Acute Compartment Syndrome.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 15. Orthop Clin North Am. 2022 Jan;53(1):25-32. doi: 10.1016/j.ocl.2021.08.002. Epub 2021 Oct 28. Compartment Syndrome After Hip and Knee Arthroplasty. Sepehri A(1), Howard LC(1), Neufeld ME(1), Masri BA(2). Author information: (1)Department of Orthopaedics, University of British Columbia, 3rd Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada. (2)Department of Orthopaedics, University of British Columbia, 3rd Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada. Electronic address: bas.masri@ubc.ca. Early diagnosis and prompt definitive management of acute compartment syndrome (ACS) are paramount in preventing the significant morbidity associated with compartment syndrome. The diagnosis of compartment syndrome can be difficult, given the pain associated with the procedure in the immediate postoperative period. Obesity, anticoagulation, postoperative epidural infusion, and prolonged operative time have been reported as risk factors for ACS. In addition to maintaining high clinical suspicion in patient with risk factors for ACS after joint replacement, emphasis on limiting modifiable risk factors should be practiced, including meticulous hemostasis, careful patient positioning, and limiting prolonged postoperative regional anesthesia when not required. Copyright © 2021 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2021.08.002