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Compartment Syndromes Associated with Postoperative Epidural Analgesia. A Case Report*
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Investigation performed at the Orlando Regional Medical Center, Orlando
J Bone Joint Surg Am, 1996 Apr 01;78(4):597-9
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Compartment syndrome of the thigh is a rare complication that has been reported as a result of trauma, prolonged compression, and vascular injury1-3,8,11,20,27; however, it has not been reported after an elective osteotomy of the femur, to our knowledge. We describe the case of a patient in whom compartment syndromes of the thigh and leg developed after corrective osteotomies of the distal part of the femur and proximal part of the tibia. Similar osteotomies had been performed on the contralateral lower extremity fourteen weeks previously, and no complications had developed. The only modification during the second procedure was the use of epidural analgesia for the relief of postoperative pain. We believe that postoperative epidural analgesia may obscure the symptoms of compartment syndrome22; therefore, patients who are so managed should be monitored very carefully.
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