Nadeem R D, Clift B A, Martindale J P, Hadden W A, Ritchie I K
Department of Orthopaedic and Trauma Surgery, Dundee Royal Infirmary, UK.
J Bone Joint Surg Br. 1998 Sep;80(5):866-8. doi: 10.1302/0301-620x.80b5.8324.
We describe three patients with a compartment syndrome of the thigh, two after total hip replacement and one after total knee replacement. Two of the patients were fully anticoagulated. A compartment syndrome of the thigh is a rare, but important complication of joint replacement surgery if patients are receiving anticoagulants. Close observation is needed and when indicated monitoring of the intracompartmental pressure should be done. Early recognition of the signs and symptoms of an acute compartment syndrome and knowledge of the anatomy of the compartments of the thigh will help in the diagnosis and treatment of this potentially devastating complication.
我们描述了三例大腿骨筋膜室综合征患者，其中两例发生在全髋关节置换术后，一例发生在全膝关节置换术后。两名患者正在接受充分抗凝治疗。如果患者正在接受抗凝治疗，大腿骨筋膜室综合征是关节置换手术中一种罕见但重要的并发症。需要密切观察，必要时应进行骨筋膜室内压力监测。早期识别急性骨筋膜室综合征的体征和症状以及了解大腿各骨筋膜室的解剖结构，将有助于诊断和治疗这种可能具有毁灭性的并发症。
