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Article: Silent compartment syndrome complicating total knee arthroplasty. Continuous epidural anesthesia masked the pain

TitleSilent compartment syndrome complicating total knee arthroplasty. Continuous epidural anesthesia masked the pain
Authors
Issue Date2000
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/arthroplastyjournal
Citation
Journal Of Arthroplasty, 2000, v. 15 n. 2, p. 241-243 How to Cite?
AbstractPosterior dislocation is an uncommon complication of total knee arthroplasty (TKA) using a posterior stabilized total knee prosthesis, and it usually results from flexion instability. Acute posterior dislocation of a posterior stabilized prosthesis complicated by compartment syndrome of the leg has nor previously been reported in the literature. We report a 62-year- old woman with posterior dislocation of her posterior stabilized TKA when her knee was in extension. It was further complicated by compartment syndrome with severe muscle necrosis. The diagnosis of compartment syndrome was delayed, partly because of continuous epidural anesthesia that completely abolished the pain and partly because of the low index of suspicion, as compartment syndrome is not well recognized as a possible complication of TKA. This case report strongly emphasizes that continuous epidural anesthesia is contraindicated in the case of complicated TKA because important clinical cues to neurovascular complications could be masked.
Persistent Identifierhttp://hdl.handle.net/10722/170025
ISSN
2015 Impact Factor: 2.515
2015 SCImago Journal Rankings: 2.154
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTang, WMen_US
dc.contributor.authorChiu, KYen_US
dc.date.accessioned2012-10-30T06:04:49Z-
dc.date.available2012-10-30T06:04:49Z-
dc.date.issued2000en_US
dc.identifier.citationJournal Of Arthroplasty, 2000, v. 15 n. 2, p. 241-243en_US
dc.identifier.issn0883-5403en_US
dc.identifier.urihttp://hdl.handle.net/10722/170025-
dc.description.abstractPosterior dislocation is an uncommon complication of total knee arthroplasty (TKA) using a posterior stabilized total knee prosthesis, and it usually results from flexion instability. Acute posterior dislocation of a posterior stabilized prosthesis complicated by compartment syndrome of the leg has nor previously been reported in the literature. We report a 62-year- old woman with posterior dislocation of her posterior stabilized TKA when her knee was in extension. It was further complicated by compartment syndrome with severe muscle necrosis. The diagnosis of compartment syndrome was delayed, partly because of continuous epidural anesthesia that completely abolished the pain and partly because of the low index of suspicion, as compartment syndrome is not well recognized as a possible complication of TKA. This case report strongly emphasizes that continuous epidural anesthesia is contraindicated in the case of complicated TKA because important clinical cues to neurovascular complications could be masked.en_US
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/arthroplastyjournalen_US
dc.relation.ispartofJournal of Arthroplastyen_US
dc.subject.meshAnesthesia, Epidural - Contraindicationsen_US
dc.subject.meshArthroplasty, Replacement, Kneeen_US
dc.subject.meshCompartment Syndromes - Diagnosis - Etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshKnee Prosthesisen_US
dc.subject.meshMiddle Ageden_US
dc.titleSilent compartment syndrome complicating total knee arthroplasty. Continuous epidural anesthesia masked the painen_US
dc.typeArticleen_US
dc.identifier.emailChiu, KY:pkychiu@hkucc.hku.hken_US
dc.identifier.authorityChiu, KY=rp00379en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0883-5403(00)90440-6-
dc.identifier.pmid10708095-
dc.identifier.scopuseid_2-s2.0-0034009143en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034009143&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume15en_US
dc.identifier.issue2en_US
dc.identifier.spage241en_US
dc.identifier.epage243en_US
dc.identifier.isiWOS:000085536800020-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridTang, WM=7403430820en_US
dc.identifier.scopusauthoridChiu, KY=7202988127en_US

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