WELL LEG COMPARTMENT SYNDROME: THE DEBIT SIDE OF HEMILITHOTOMY POSITION

Authors

  • Shahryar Noordin
  • Salim Allana
  • MA Wajid

Abstract

We describe a case of well leg compartment syndrome following unilateral lithotomy position in a
patient undergoing contralateral antegrade intramedullary femoral nailing. Following two-incision
four compartment fasciotomy, the patient recovered with no residual defects. We dissuade use of
the hemilithotomy position for antegrade femoral nailing procedures in favour of another
previously described position, because this predisposes patients to position-associated
complications without offering any substantial advantage.
Keywords: Compartment syndrome, well-leg, hemilithotomy

References

Carlson DA, Dobozi WR, Rabin S, Peroneal nerve palsy and

compartment syndrome in bilateral femoral fractures. Clin

Orthop Relat Res, 1995(320):115-8.

Mathews, PV, Perry JJ, Murray PC. Compartment syndrome

of the well leg as a result of the hemilithotomy position: a

report of two cases and review of literature. J Orthop

Trauma, 2001;15(8):580-3.

J Ayub Med Coll Abbottabad 2009;21(1)

http://www.ayubmed.edu.pk/JAMC/PAST/21-1/Shahryar.pdf

Tan V, Pepe MD, Glaser DL, Seldes RM, Heppenstall

RB, Esterhai JL Jr. Well-leg compartment pressures during

hemilithotomy position for fracture fixation. J Orthop

Trauma, 2000;14(3):157-61.

Lydon, JC, Spielman FJ, Bilateral compartment syndrome

following prolonged surgery in the lithotomy position.

Anesthesiology, 1984;60(3):236-8.

Goldsmith AL, McCallum MI, Compartment syndrome as a

complication of the prolonged use of the Lloyd-Davies

position. Anaesthesia, 1996;51(11):1048-52.

Anglen J, Banovetz J, Compartment syndrome in the well leg

resulting from fracture-table positioning. Clin Orthop Relat

Res, 1994;(301):239-42.

Gordon BS, Newman W. Lower nephron syndrome

following prolonged knee-chest position. J Bone Joint Surg

Am, 1953;35-A(3):764-8.

Dugdale TW, Schutzer SF, Deasfenbaugh MK, Bartosh RA.

Compartment syndrome complicating use of the hemilithotomy position during femoral nailing. A report of two

cases. J Bone Joint Surg Am, 1989;71(10):1556-7.

Cascio BM, Buchowski JM, Frassica FJ, Well-limb

compartment syndrome after prolonged lateral decubitus

positioning. A report of two cases. J Bone Joint Surg Am,

;86-A(9):2038-40.

Pfeffer SD, Halliwill JR, Warner MA, Effects of lithotomy

position and external compression on lower leg muscle

compartment pressure. Anesthesiology, 2001;95(3):632-6.

Meyer RS, White KK, Smith JM, Groppo ER, Mubarak

SJ, Hargens AR. Intramuscular and blood pressures in legs

positioned in the hemilithotomy position: clarification of risk

factors for well-leg acute compartment syndrome. J Bone

Joint Surg Am, 2002;84-A(10):1829-35.

Published

2009-03-01

How to Cite

Noordin, S., Allana, S., & Wajid, M. (2009). WELL LEG COMPARTMENT SYNDROME: THE DEBIT SIDE OF HEMILITHOTOMY POSITION. Journal of Ayub Medical College Abbottabad, 21(1), 166–168. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/3811

Issue

Vol. 21 No. 1 (2009): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

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