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Case Reports
. 2017 Dec 18;8(12):964-967.
doi: 10.5312/wjo.v8.i12.964.

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

Dirk Pieter Hogerzeil  1 , Imraan Muradin  1 , Eline W Zwitser  1 , Joris A Jansen  1
Affiliations
Case Reports

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

Dirk Pieter Hogerzeil et al. World J Orthop. .

Abstract

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.

Keywords: Acute compartment syndrome; Anterior supine intermuscular approach; Anticoagulation therapy; Orthopedics; Total hip arthroplasty.

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Conflict of interest statement

Conflict-of-interest statement: None of the authors have any conflicts of interest to declare.

Figures

Figure 1
Figure 1
Ultrasound of the thigh showing an intramuscular hematoma of the anterior compartment.
Figure 2
Figure 2
Transverse plane computed tomography scan showing a hematoma ventrally in the anterior compartment.
Figure 3
Figure 3
Transverse plane computed tomography scan showing a hematoma dorsally in the anterior compartment.
Figure 4
Figure 4
Coronal plane computed tomography scan showing a hematoma of the anterior compartment.
See this image and copyright information in PMC

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