Compartment syndrome and orthopedic surgery: Diagnosis and management

Matthew R. Garner, Samuel A. Taylor, Milton T.M. Little, John P. Lyden

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Compartment syndrome is defined as an elevation of intracompartmental pressure to a level that impairs arterial flow.Compartment syndrome of the upper and lower extremities can have multiple etiologies, including traumatic, exertional, and iatrogenic in the peri-operative setting. Early identification and diagnosis enabling prompt intervention is essential to providing patients the best possible outcomes. In cases of acute compartment syndrome, emergent fasciotomy is generally indicated. Delayed fasciotomies more than 24 h after onset of symptoms is not recommended as it increases morbidity and mortality, however it is often difficult to establish a time zero for onset or irreversibility. Even with timely treatment, multiple surgeries are often necessary to ensure adequate wound debridement, appropriate soft tissue coverage and satisfactory wound closure. Long-term sequelae range from cosmetic concerns secondary to wound complications, the use of skin grafts, limb deformity, amputation, or systemic complications associated with rhabdomyolysis.

Original languageEnglish (US)
Title of host publicationPerioperative Care of the Orthopedic Patient
PublisherSpringer New York
Pages281-288
Number of pages8
ISBN (Electronic)9781461401001
ISBN (Print)9781461400998
DOIs
StatePublished - Jan 1 2014

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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  • Cite this

    Garner, M. R., Taylor, S. A., Little, M. T. M., & Lyden, J. P. (2014). Compartment syndrome and orthopedic surgery: Diagnosis and management. In Perioperative Care of the Orthopedic Patient (pp. 281-288). Springer New York. https://doi.org/10.1007/978-1-4614-0100-1_24