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
Iris F Brouze, Sylvain Steinmetz, John McManus, Olivier BorensService of Orthopaedic surgery and Traumatology, CHUV – University Hospital Vaud, Lausanne, SwitzerlandAbstract: Well leg compartment syndrome (WLCS) is a rare complication which can occur following urological, gynecological, ge...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-02-01
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| Series: | Therapeutics and Clinical Risk Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/well-leg-compartment-syndrome-in-trauma-surgery-femoral-shaft-fracture-peer-reviewed-article-TCRM |
| _version_ | 1818739017391276032 |
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| author | Brouze IF Steinmetz S McManus J Borens O |
| author_facet | Brouze IF Steinmetz S McManus J Borens O |
| author_sort | Brouze IF |
| collection | DOAJ |
| description | Iris F Brouze, Sylvain Steinmetz, John McManus, Olivier BorensService of Orthopaedic surgery and Traumatology, CHUV – University Hospital Vaud, Lausanne, SwitzerlandAbstract: Well leg compartment syndrome (WLCS) is a rare complication which can occur following urological, gynecological, general surgical or orthopaedic 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 orthopaedic 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, well leg compartment syndrome, femoral shaft fracture, intramedullary nailing, hemilithotomy position, case series |
| first_indexed | 2024-12-18T01:18:09Z |
| format | Article |
| id | doaj.art-519ab56c25bf44feaa9cbc6b62da06e9 |
| institution | Directory Open Access Journal |
| issn | 1178-203X |
| language | English |
| last_indexed | 2024-12-18T01:18:09Z |
| publishDate | 2019-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Therapeutics and Clinical Risk Management |
| spelling | doaj.art-519ab56c25bf44feaa9cbc6b62da06e92022-12-21T21:25:54ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2019-02-01Volume 1524125043964Well leg compartment syndrome in trauma surgery – femoral shaft fracture treated by femoral intramedullary nailing in the hemilithotomy position: case series and review of the literatureBrouze IFSteinmetz SMcManus JBorens OIris F Brouze, Sylvain Steinmetz, John McManus, Olivier BorensService of Orthopaedic surgery and Traumatology, CHUV – University Hospital Vaud, Lausanne, SwitzerlandAbstract: Well leg compartment syndrome (WLCS) is a rare complication which can occur following urological, gynecological, general surgical or orthopaedic 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 orthopaedic 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, well leg compartment syndrome, femoral shaft fracture, intramedullary nailing, hemilithotomy position, case serieshttps://www.dovepress.com/well-leg-compartment-syndrome-in-trauma-surgery-femoral-shaft-fracture-peer-reviewed-article-TCRMWLCSwell leg compartment syndromefemoral shaft fractureintramedullary nailinghemilithotomy positioncase series. |
| spellingShingle | Brouze IF Steinmetz S McManus J Borens O 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 Therapeutics and Clinical Risk Management WLCS well leg compartment syndrome femoral shaft fracture intramedullary nailing hemilithotomy position case series. |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | well leg compartment syndrome in trauma surgery ndash femoral shaft fracture treated by femoral intramedullary nailing in the hemilithotomy position case series and review of the literature |
| topic | WLCS well leg compartment syndrome femoral shaft fracture intramedullary nailing hemilithotomy position case series. |
| url | https://www.dovepress.com/well-leg-compartment-syndrome-in-trauma-surgery-femoral-shaft-fracture-peer-reviewed-article-TCRM |
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