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Acute compartment syndrome of the thigh following hip replacement by anterior approach in a patient using oral anticoagulants

查看全文 作  者:Dirk Pieter [1]Hogerzeil;Imraan [1]Muradin;Eline W [1]Zwitser;Joris A [1]Jansen 高影响力作者 机构地区:[1]Department of Orthopedic Surgery,Alrijne Hospital高影响力机构 出  处:《World Journal of Orthopedics》索引2017年第8卷第12期,共4页高影响力期刊 摘  要:Acute compartment syndrome(ACS) of the thigh following primary total hip arthroplasty(THA) is a highly uncommon complication and has not yet been reported before with regards to the anterior approach through the anterior supine interval. We present a case of a 69-year-old male patient with a history of stroke, who developed ACS of the thigh after elective THA while using therapeutic low molecular weight heparin as bridging for regular oral anticoagulation. ACS pathogenesis, diagnostic tools, treatment and relevant literature are discussed. The patient's ACS was recognized in time and treated by operative decompression with fasciotomy of the anterior compartment. Follow-up did not show any neurological deficit or soft-tissue damage. 关 键 词:ORTHOPEDICS Total hip ARTHROPLASTY Anterior SUPINE intermuscular approach Acute COMPARTMENT syndrome ANTICOAGULATION therapy
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