La position d'hémilithotomie pour l'enclouage du fémur et le syndrome des loges du membre sain [Hemilithotomy position for intramedullary nailing of the femur and compartment syndrome of the healthy leg]

Détails

ID Serval
serval:BIB_644F50AAF24D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
La position d'hémilithotomie pour l'enclouage du fémur et le syndrome des loges du membre sain [Hemilithotomy position for intramedullary nailing of the femur and compartment syndrome of the healthy leg]
Périodique
Swiss Surgery
Auteur(s)
Christodoulou M., Garofalo R., Echeverri S., Pelet S., Mouhsine E.
ISSN
1023-9332
Statut éditorial
Publié
Date de publication
2002
Volume
8
Numéro
4
Pages
193-196
Langue
français
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Review - Publication Status: ppublish
Résumé
The well leg compartment Syndrome following long procedures in the dorsal lithotomy or hemi-lithotomy position is a rare complication. Its diagnosis is usually late and the neurological deficit are often permanent. We report two cases of femoral nailing complicated by Compartment Syndrome of the contralateral leg. We review the published literature on 40 cases which suggests a clear relationship between these positions, the duration of the intervention and the degree of leg elevation. Given the potentially severe sequel, prevention is a must and a high degree of suspicion is the key to an early diagnosis. A modified hemi-lithotomy position is proposed. That avoids extreme elevation of the leg and diminishes the hip and knee flexion required while allowing adequate fluoroscopy.
Mots-clé
Adult, Compartment Syndromes/etiology, Compartment Syndromes/surgery, Fascia/surgery, Femoral Fractures/surgery, Fracture Fixation, Intramedullary/adverse effects, Fracture Fixation, Intramedullary/instrumentation, Humans, Male, Postoperative Complications/etiology, Postoperative Complications/surgery, Reoperation, Rhabdomyolysis/etiology, Rhabdomyolysis/surgery, Supine Position, Surgical Equipment
Pubmed
Création de la notice
28/01/2008 13:25
Dernière modification de la notice
20/08/2019 15:20
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