Well leg compartment syndrome: the debit side of hemilithotomy position.
We describe a case of well leg compartment syndrome following unilateral lithotomy position in a patient undergoing contralateral antegrade intramedullary femoral nailing. Following two-incision four compartment fasciotomy, the patient recovered with no residual defects. We dissuade use of the hemilithotomy position for antegrade femoral nailing procedures in favour of another previously described position, because this predisposes patients to position-associated complications without offering any substantial advantage.
Noordin
Shahryar
S
Section of Orthopaedics, Department of Surgery, Aga Khan University, Karachi, Pakistan. shahryar.noordin@aku.edu
Allana
Salim
S
Wajid
D000328:Adult; D000868:Anterior Compartment Syndrome / Q000209:etiology* / Q000517:prevention & control; D001858:Bone Nails / Q000009:adverse effects; D005264:Femoral Fractures / Q000150:complications*; D005596:Fractures, Closed / Q000150:complications*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply*; D019637:Orthopedic Procedures / Q000009:adverse effects*; D012307:Risk Factors