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- Publisher Website: 10.1016/S0883-5403(00)90440-6
- Scopus: eid_2-s2.0-0034009143
- PMID: 10708095
- WOS: WOS:000085536800020
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Article: Silent compartment syndrome complicating total knee arthroplasty. Continuous epidural anesthesia masked the pain
Title | Silent compartment syndrome complicating total knee arthroplasty. Continuous epidural anesthesia masked the pain |
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Authors | |
Keywords | Compartment syndrome Complication Epidural anesthesia Total knee arthroplasty |
Issue Date | 2000 |
Publisher | Churchill 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? |
Abstract | Posterior 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 Identifier | http://hdl.handle.net/10722/170025 |
ISSN | 2023 Impact Factor: 3.4 2023 SCImago Journal Rankings: 1.849 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Tang, WM | en_US |
dc.contributor.author | Chiu, KY | en_US |
dc.date.accessioned | 2012-10-30T06:04:49Z | - |
dc.date.available | 2012-10-30T06:04:49Z | - |
dc.date.issued | 2000 | en_US |
dc.identifier.citation | Journal Of Arthroplasty, 2000, v. 15 n. 2, p. 241-243 | en_US |
dc.identifier.issn | 0883-5403 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/170025 | - |
dc.description.abstract | Posterior 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.language | eng | en_US |
dc.publisher | Churchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/arthroplastyjournal | en_US |
dc.relation.ispartof | Journal of Arthroplasty | en_US |
dc.subject | Compartment syndrome | - |
dc.subject | Complication | - |
dc.subject | Epidural anesthesia | - |
dc.subject | Total knee arthroplasty | - |
dc.subject.mesh | Anesthesia, Epidural - Contraindications | en_US |
dc.subject.mesh | Arthroplasty, Replacement, Knee | en_US |
dc.subject.mesh | Compartment Syndromes - Diagnosis - Etiology | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Knee Prosthesis | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.title | Silent compartment syndrome complicating total knee arthroplasty. Continuous epidural anesthesia masked the pain | en_US |
dc.type | Article | en_US |
dc.identifier.email | Chiu, KY:pkychiu@hkucc.hku.hk | en_US |
dc.identifier.authority | Chiu, KY=rp00379 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/S0883-5403(00)90440-6 | - |
dc.identifier.pmid | 10708095 | - |
dc.identifier.scopus | eid_2-s2.0-0034009143 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0034009143&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 15 | en_US |
dc.identifier.issue | 2 | en_US |
dc.identifier.spage | 241 | en_US |
dc.identifier.epage | 243 | en_US |
dc.identifier.isi | WOS:000085536800020 | - |
dc.publisher.place | United States | en_US |
dc.identifier.scopusauthorid | Tang, WM=7403430820 | en_US |
dc.identifier.scopusauthorid | Chiu, KY=7202988127 | en_US |
dc.identifier.issnl | 0883-5403 | - |