Høiness P R, Hvaal K, Engebretsen L
Orthopaedic Department, Ullevål Hospital, University of Oslo, Norway.
Knee Surg Sports Traumatol Arthrosc. 1998;6(4):253-5. doi: 10.1007/s001670050108.
Iatrogenic hypothermic injury in the treatment of traumatic disorders is a rare complication. Cryocompression therapy is widely used in the treatment of pre- and postoperative pain and swelling, but hypothermic damage to the soft tissues has not yet been reported. We present a case in which a patient sustained a hypothermic injury after continuous preoperative cryocompression therapy of an ankle fracture. The patient developed skin epidermolysis, partial nerve damage, muscle atrophy and clawing of the toes. The possible causes of this unusual injury are discussed.
创伤性疾病治疗中的医源性低温损伤是一种罕见的并发症。冷冻加压疗法广泛用于治疗术前和术后的疼痛与肿胀，但软组织的低温损伤尚未见报道。我们报告一例患者，其在踝关节骨折术前连续进行冷冻加压治疗后发生了低温损伤。该患者出现了皮肤表皮松解、部分神经损伤、肌肉萎缩和脚趾爪形畸形。本文讨论了这种罕见损伤的可能原因。
