RESUMO
Compartment syndrome complicating tibial shaft fractures is a well-documented entity. However, the complication of compartment syndrome after tibial plateau fracture as described in this paper is relatively rare because of dissipation of tissue pressures into the knee-joint compartments. A thorough surgical decompression of all four compartments with continuous postoperative monitoring of compartment pressures was accomplished before the patient's fracture was stabilized. This strategy of delayed reconstruction of the tibial plateau worked well in this patient.
Assuntos
Síndromes Compartimentais/etiologia , Fraturas da Tíbia/complicações , Placas Ósseas , Parafusos Ósseos , Síndromes Compartimentais/cirurgia , Fasciotomia , Feminino , Humanos , Pessoa de Meia-Idade , Terapia Passiva Contínua de Movimento , Radiografia , Fraturas da Tíbia/diagnóstico por imagem , Fraturas da Tíbia/cirurgiaRESUMO
Intraarticular ankle anatomy may be better visualized arthroscopically than with an arthrotomy. Ankle arthroscopy was crucial in locating a simple bone cyst and directing therapeutic curettage of the lesion.