Bilateral thigh compartment syndrome following intraoperative pelvic binder reduction of open pelvic fracture: a case report and review of literature.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 39240350.
- Also identified by DOI 10.1007/s00590-024-04090-7 and PMC identifier 11519102.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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. 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.
Medical subject headings
- Anterior Compartment Syndrome
- Fractures, Open
- Iliac Artery
- Open Fracture Reduction
- Pelvic Bones
- Thigh
Anatomy
- pelvis