Acute compartment syndrome following intramedullary pulse lavage and débridement for osteomyelitis of the tibia.
The implantation of gentamicin loaded polymethylmethacrylate (PMMA) beats and other local antibiotic carriers is a common practice in the treatment of chronic osteomyelitis as is the use of local jet lavage débridement. This article presents the case of a patient with chronic osteomyelitis of the tibia, who had no complication after débridement, intramedullary reaming and pulse lavage without tourniquet but sustained a compartment syndrome 2 weeks later during a second procedure in which an intraoperative tourniquet and pulse lavage were combined.
Lauber
S
S
Department of Orthopaedics, Muenster University Hospital, Albert-Schweitzer-Str. 33, 48149 Münster, Germany. sebastian.lauber@freenet.de
Schulte
T L
TL
Götze
C
C
Steinbeck
J
J
Bottner
F
F
D000208:Acute Disease; D000328:Adult; D000868:Anterior Compartment Syndrome / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001843:Bone Cements; D003646:Debridement / Q000009:adverse effects*; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D010019:Osteomyelitis / Q000628:therapy*; D019904:Polymethyl Methacrylate; D011183:Postoperative Complications; D007507:Therapeutic Irrigation / Q000009:adverse effects; D013977:Tibia
D000900:Anti-Bacterial Agents; D001843:Bone Cements; D005839:Gentamicins; D019904:Polymethyl Methacrylate