Well leg compartment syndrome in trauma surgery - femoral shaft fracture treated by femoral intramedullary nailing in the hemilithotomy position: case series and review of the literature.

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Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_3E95D7347DF8
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Well leg compartment syndrome in trauma surgery - femoral shaft fracture treated by femoral intramedullary nailing in the hemilithotomy position: case series and review of the literature.
Journal
Therapeutics and clinical risk management
Author(s)
Brouze I.F., Steinmetz S., McManus J., Borens O.
ISSN
1176-6336 (Print)
ISSN-L
1176-6336
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
15
Pages
241-250
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Well leg compartment syndrome (WLCS) is a rare complication which can occur following urological, gynecological, general surgical or orthopedic surgeries carried out with the lower limb in the hemilithotomy position. WLCS is associated with significant morbidity and mortality because delay in diagnosis and treatment can lead to loss of function and even life-threatening complications. During orthopedic surgeries on a traction table, such as femoral nailing, the contralateral "well leg" is often placed in the hemilithotomy position, thus facilitating the use of fluoroscopy. This position (also named the Lloyd-Davis position) consists of hip flexion, abduction, external rotation and knee flexion. We present the cases of two teenaged patients who underwent femoral nailing on an extension table of a femoral fracture and developed WLCS. We also present a review of the literature and a discussion of the pathophysiology, risk factors and treatment of this condition. Clinicians need to be aware of the risk factors for WLCS and have high index of suspicion. Further studies looking at the risks, benefits and feasibility of ways to reduce this risk are required.
Keywords
WLCS, case series, femoral shaft fracture, hemilithotomy position, intramedullary nailing, well leg compartment syndrome
Pubmed
Web of science
Open Access
Yes
Create date
25/02/2019 18:44
Last modification date
20/08/2019 14:35
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