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Case Reports
. 2023 Mar 16;13(1).
doi: 10.2106/JBJS.CC.22.00365. eCollection 2023 Jan 1.

Compartment Syndrome After Tibial Intramedullary Nail Removal and Intramedullary Debridement: A Case Report

Davin C Gong  1 , Vandan Patel, Nicholas Farrar, Mark E Hake, Aaron M Perdue, Jaimo Ahn
Affiliations
Case Reports

Compartment Syndrome After Tibial Intramedullary Nail Removal and Intramedullary Debridement: A Case Report

Davin C Gong et al. JBJS Case Connect. .

Abstract

Case: A 45-year-old man who sustained an open tibial shaft fracture treated with intramedullary (IM) nailing 9 years earlier presented with persistent pain and concern for occult infection. He underwent tibial nail removal and debridement with reamer-irrigator-aspirator. Postoperative course was complicated by acute compartment syndrome.

Conclusion: This is a unique case of postoperative compartment syndrome after IM debridement and tibial hardware removal. A high index of suspicion should be prioritized in patients who complain of severe or unexpected pain to mitigate delays in diagnosis and aid in early treatment.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C62).

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