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The Journal of Bone and Joint Surgery 78:597-9 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Compartment Syndromes Associated with Postoperative Epidural Analgesia. A Case Report*

CHARLES PRICE, M.D.{dagger}, JOHN RIBEIRO, M.D.{ddagger} and TODD KINNEBREW, M.D.§, ORLANDO, FLORIDA

Investigation performed at the Orlando Regional Medical Center, Orlando


   Introduction
 
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.

Compartment syndrome is a condition in which increased pressure within a closed compartment reduces the . . . [Full Text of this Article]


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