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.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_3E95D7347DF8
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
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.
Périodique
Therapeutics and clinical risk management
Auteur(s)
Brouze I.F., Steinmetz S., McManus J., Borens O.
ISSN
1176-6336 (Print)
ISSN-L
1176-6336
Statut éditorial
Publié
Date de publication
2019
Peer-reviewed
Oui
Volume
15
Pages
241-250
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
WLCS, case series, femoral shaft fracture, hemilithotomy position, intramedullary nailing, well leg compartment syndrome
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/02/2019 17:44
Dernière modification de la notice
20/08/2019 13:35
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