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European Journal of Orthopaedic Surgery & Traumatology

Open Access 06-09-2024 | Compartment Syndrome | Up-to date Review and Case Report

Bilateral thigh compartment syndrome following intraoperative pelvic binder reduction of open pelvic fracture: a case report and review of literature

Authors: Phillip Chung, Ian G. Hasegawa, Andrew M. Duong, Soroush Shabani, Joseph T. Patterson

Published in: European Journal of Orthopaedic Surgery & Traumatology

Abstract

Case

A 22-year-old man with a type IIIA open AO/OTA 61C2.2b pelvis fracture and hypotension received exploratory laparotomy, temporary open ligation of the bilateral internal iliac arteries, and retroperitoneal packing. After prompt fracture debridement, a pelvic binder was positioned over the thighs as a reduction aid and maintained for six hours during pelvis open reduction internal fixation. Bilateral anterior thigh compartment syndrome was diagnosed three hours after packing and binder removal.

Conclusion

Prolonged application of a pelvic binder to the thighs as an intraoperative reduction tool, shortly after temporary internal iliac artery ligation, may be associated with reperfusion injury and thigh compartment syndrome.

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Title: Bilateral thigh compartment syndrome following intraoperative pelvic binder reduction of open pelvic fracture: a case report and review of literature
Authors: Phillip Chung
Ian G. Hasegawa
Andrew M. Duong
Soroush Shabani
Joseph T. Patterson
Publication date: 06-09-2024
Publisher: Springer Paris
Keywords: Compartment Syndrome
Wound Debridement
Laparotomy
Laparotomy
Published in: European Journal of Orthopaedic Surgery & Traumatology
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-04090-7

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Bilateral thigh compartment syndrome following intraoperative pelvic binder reduction of open pelvic fracture: a case report and review of literature

Abstract

Case

Conclusion

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Abstract

Case

Conclusion

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