Author/Authors :
Meena, Sanjay All India Institute of Medical Sciences - Department of Orthopaedics, India , Trikha, Vivek All India Institute of Medical Sciences - Department of Orthopaedics, India , Saini, Pramod All India Institute of Medical Sciences - Department of Orthopaedics, India , Kumar, Nishikant All India Institute of Medical Sciences - Department of Orthopaedics, India , KR, Subhash All India Institute of Medical Sciences - Department of Orthopaedics, India
Abstract :
Objective: To report a case of subtrochanteric femur fracture that led to intraoperative compartment syndrome in the well leg. Clinical Presentation and Intervention: A 28-yearold obese male who presented with a comminuted subtrochanteric fracture underwent a prolonged open reduction and internal fixation using dynamic condylar screw. In the postoperative period, after the effect of epidural analgesia had worn off, the patient complained of severe pain and swelling of the well leg. A diagnosis of well-leg compartment syndrome was made and urgent two-incision fasciotomy was performed. Conclusion: Obesity and prolonged surgery could have caused the acute compartment syndrome of the well leg in this patient.
