DİZ ARTROSKOPİSİ SIRASINDA GELİŞEN AKUT ALT EKSTREMİTE KOMPARTMAN SENDROMUNUN NÖRALTERAPİ YAKLAŞIMI İLE TEDAVİSİ: OLGU SUNUMU

Abstract

Akut alt ekstremite kompartman sendromunu diz artroskopisinin nadir ancak bilinen bir komplikasyonudur. Ameliyat sırasında kullanılan sıvının kas aralarına ektravazasyonu sonucu gelişebilen kompartman sendromunun tanısı klinik tablo ile konmaktadır. Olgumuzda fasyatomi endikedir. Hastamıza Nöral Terapi yaklaşımı ile konservatif tedavi uyguladık. Olgu sunumumuzda nöral terapinin akut alt ekstremite kompartman sendromu tedavisindeki etkinliğini değerlendirdik

Keywords

• Akut kompartman sendromu, diz artroskopisi, komplikasyon, Nöral terapi, alt ekstremite

TREATMENT OF ACUTE LOWER EXTREMITY COMPARTMENT SYNDROME AS A COMPLICATION OF KNEE ARTHROSCOPY WITH NEURAL THERAPY APPROACH: A CASE REPORT

Abstract

Acute lower extremity compartment syndrome is a rare but well known complication of knee arthroscopy. The clinical diagnosis is generally based on clinical symptoms. Acute compartment syndrome may be due to extravasation of fluid during the knee arthroscopy. Although fasciatomy was indicated in our case, we applied a conservative Neural Therapy treatment

Keywords

• Acute compartment syndrome, knee arthroscopy, complication, Neural Therapy, lower extremity

References

1. Malbrain ML, Roberts DJ, Sugrue M, De Keulenaer BL, Ivatury R, Pelosi P, et al. The polycompartment syndrome: a concise state-of-the-art review. Anaesthesiol Intensive Ther 2014; 46(5): 433-450.
2. Volkmann R. Die ischämischen Muskellähmungen und Kontracturen. Centralbla für Chirurgie. Leipzig 1881: 8: 801-83
3. Jepson PN. Ischaemic contracture: experimental study. Ann Surg 1926;84: 785-95
4. Matsen FA III, Krugmire RB. Compartmental syndromes. Surg Gyneco- lObstet 1978;147:943-9
5. McLaughlin N, Heard H, Kelham S. Acute and chronic compartment syndromes: know when to act fast. JAAPA 2014; 27(6): 23-26.
6. McDonald S, Bearcro P. Compartment syndromes. Semin Musculoske- let Radiol 2010; 14(2): 236-244
7. Gourgio s S, Villias C, Germanos S, Foukas A, Ridolfi ni MP. Acute limb compartment syndrome: a review. J Surg Educ 2007; 64(3): 178-186
8. Matsen FA III, Wyss CR, Krugmire RB Jr, Simmons CW, King RV. The eff ects of limb eleva on and dependency on local arteriovenous gradients in normal human limbs with par cular reference to limbs with increased ssue pressure. Clin Orthop Relat Res 1980; (150): 187-95

9. Daniels M, Reichman J, Brezis M. Mannitol treatment for acute compart- ment syndrome. Nephron 1998; 79(4): 492-3
10. Bri sh Orthopaedic Assoca on and Bri sh Associa on of Plas c Recons- truc ve and Aesthe c Surgeons. Standards for Trauma 4; 2009
11. Nazlıkul H Nöralterapi Nobel Tıp Kitapevleri S 341-342
12. Seiler JG, ValadieAL, Drvaric DM, Frederick DW, Whitesides TE. Peri- opera ve Compartment Syndrome. A report of Four cases JBJS. 1996 Apr:78(4):600-2
13. Peek RD, Haynes DW. Compartment Syndrome as acomplica on of arthroscopy. A case report and a study of inters syel pressures Am. J. Sports Med. 1984. Dec: 12. 464-468