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The Journal of Bone and Joint Surgery 78:600-2 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Perioperative Compartment Syndrome. A Report Of Four Cases*

JOHN GRAY SEILER III, M.D.{dagger}, ARTHUR L. VALADIE III, M.D.{dagger}, DAVID M. DRVARIC, M.D.{dagger}, ROBERT W. FREDERICK, M.D.{dagger} and THOMAS E. WHITESIDES, JR., M.D.{dagger}, ATLANTA, GEORGIA

Investigation performed at the Department of Orthopaedic Surgery, Emory University, Atlanta


   Introduction
 
Compartment syndromes are usually seen following trauma to or arterial reconstruction of an extremity13,14,17,21,26,27. Since the mid-1970's, major improvements have been made in the devices used to irrigate wounds and joints and to infuse fluids. Occasionally, the use of pressurized devices to enhance the flow of fluid may be associated with the development of acute compartment syndromes.

We report the cases of four patients in whom an acute compartment syndrome developed during an operative procedure and in whom a large amount of extravasated fluid was found in the soft tissue of the extremity that had been operated on. The compartment syndromes were believed to have resulted from the use of a pressurized pulsatile irrigation system (two patients), the use of a pump for the infusion of fluids into the joint during an arthroscopic procedure (one patient), and the use of a device for the pressurized intravenous infusion of parenteral . . . [Full Text of this Article]


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