Gas-gangrene following arthroscopic surgery.
An arthroscopic anterior cruciate ligament repair was followed by gas-gangrene and the development of a compartment syndrome. Treatment consisted of extensive fasciotomy, debridement, and antibiotic therapy with penicillin G, cefotiam, and metronidazole. The patient was also treated with five sessions of hyperbaric oxygen in a pressure chamber for a duration of 2 h per session. This therapeutic regimen resulted in the preservation of a functionally intact extremity despite severe complication.
Ketterl
R
R
Department of Surgery, Technical University of Munich, Federal Republic of Germany.
Beckurts
T
T
Kovacs
J
J
Stübinger
B
B
Hipp
R
R
Claudi
B
B
D000328:Adult; D001182:Arthroscopy / Q000009:adverse effects*; D005738:Gas Gangrene / Q000209:etiology*; D006801:Humans; D007719:Knee Joint / Q000473:pathology / Q000601:surgery*; D008023:Ligaments, Articular / Q000473:pathology / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications