Rhabdomyolysis following total hip arthroplasty.
We report six cases of contralateral limb involvement during total hip arthroplasty including swelling of the gluteal muscle compartments, rhabdomyolysis, myoglobinuria, and sciatic nerve palsy. The risk factors for such complications include obesity, prolonged operative time, and positioning in the lateral decubitus position. The laboratory and clinical findings are consistent with a gluteal muscle crush-injury with consequent compartment syndrome. The patients should be treated conservatively as symptoms can be expected to resolve.
Lachiewicz
P F
PF
University of North Carolina, Division of Orthopaedic Surgery, Chapel Hill 27599-7055.
Latimer
H A
HA
D000328:Adult; D000368:Aged; D001835:Body Weight; D003402:Creatine Kinase / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D007869:Leg Injuries / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009212:Myoglobinuria / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D009408:Nerve Compression Syndromes / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D009765:Obesity / Q000150:complications; D011187:Posture; D012206:Rhabdomyolysis / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors; D012584:Sciatic Nerve; D013997:Time Factors
D003402:Creatine Kinase