Öz
Bu çalışmada; proksimal tibia osteotomi cerrahisi sonrasında karşılaşılan olağan dışı bir turnike komplikasyonunu sunmayı amaçladık. Elli beş yaşındaki kadın hasta genu varum nedeniyle kliniğimizde ameliyat edildi. Ameliyat sonrası dönemde anüri gelişti. Böbrek ve karaciğer fonksiyon test değerlerinde yükselme gözlendi. Akut rabdomiyoliz tanısı konularak agresif tedavi başlandı
Anahtar Kelimeler
Komplikasyon; proksimal tibial osteotomi; rabdomiyoliz; turnike
Kaynakça
- Richey SL. Tourniquets for the control of traumatic hemorrhage: a review of the literature. J Spec Oper Med 2009;9:56–64.
- Williams JE Jr, Tucker DB, Read JM 3rd. Rhabdomyol- ysis-myoglobinurea: consequences of prolonged tourni- quet. J Foot Surg 1983;22:2–6.
- Criner JA, Appelt M, Coker C, Conrad S, Holliday J. Rhabdomyolysis: the hidden killer. Medsurg Nurs 2002;11:138-43.
- Chidambaran V, Rosing J, Soler X, Sadhasivam S. Mus- cle trauma from tourniquet (mis)use. Anesthesiology 2012;117:179.
- Erdem AF, Ilgaz A, Yuksek MS, Gursan N, Atalay C. The effects of isoflurane, sevoflurane and desflurane anesthesia on the glyserol model of rhabdomyolysis-induced acute renal failure in rats. Eurasian J Med 2007;39:33–6.
- Lochhead KM, Kharasch ED, Zager RA. Anesthetic ef- fects on the glycerol model of rhabdomyolysis-induced acute renal failure in rats. J Am Soc Nephrol 1998;9:305– 9.
- Takahashi H, Shimokawa M, Sha K, Sakamoto T, Kawa- guchi M, Kitaguchi K, et al. Sevoflurane can induce rhab- domyolysis in Duchenne’s muscular dystrophy. [Article in Japanese] Masui 2002;51:190–2. [Abstract]
- Obata R, Yasumi Y, Suzuki A, Nakajima Y, Sato S. Rhab- domyolysis in association with Duchenne’s muscular dys- trophy. Can J Anaesth 1999;46:564–6.
- Shenton DW, Spitzer SA, Mulrennan BM. Tourniquet- induced rhabdomyolysis. A case report. J Bone Joint Surg Am 1990;72:1405–6.
- Palmer SH, Graham G. Tourniquet-induced rhabdomy- olysis after total knee replacement. Ann R Coll Surg Engl 1994;76:416–7.
- Vold PL, Weiss PJ. Rhabdomyolysis from tourniquet trauma in a patient with hypothyroidism. West J Med 1995;162:270–1.
- Sheth NP, Sennett B, Berns JS. Rhabdomyolysis and acute renal failure following arthroscopic knee surgery in a college football player taking creatine supplements. Clin Nephrol 2006;65:134–7.
- Karcher C, Dieterich HJ, Schroeder TH. Rhabdomyoly- sis in an obese patient after total knee arthroplasty. Br J Anaesth 2006;97:822–4.
- Lee YG, Park W, Kim SH, Yun SP, Jeong H, Kim HJ, et al. A case of rhabdomyolysis associated with use of a pneumatic tourniquet during arthroscopic knee surgery. Korean J Intern Med 2010;25:105–9.
Rhabdomyolysis after tourniquet use in proximal tibial osteotomy: a case report and review of the literature
Öz
Rhabdomyolysis following pneumotic tourniquet use is an extremely rare complication. In this case report, we aimed to present an unusual tourniquet complication following proximal tibial osteotomy. A 55-year-old female patient was operated on for genu varum in our clinic. Postoperatively, an anuria developed, and liver and kidney function test levels increased. The patient was diagnosed with acute rhabdomyolysis, and an aggressive treatment was begun.
Anahtar Kelimeler
Complication proximal tibial osteotomy rhabdomyolysis tourniquet
Kaynakça
- Richey SL. Tourniquets for the control of traumatic hemorrhage: a review of the literature. J Spec Oper Med 2009;9:56–64.
- Williams JE Jr, Tucker DB, Read JM 3rd. Rhabdomyol- ysis-myoglobinurea: consequences of prolonged tourni- quet. J Foot Surg 1983;22:2–6.
- Criner JA, Appelt M, Coker C, Conrad S, Holliday J. Rhabdomyolysis: the hidden killer. Medsurg Nurs 2002;11:138-43.
- Chidambaran V, Rosing J, Soler X, Sadhasivam S. Mus- cle trauma from tourniquet (mis)use. Anesthesiology 2012;117:179.
- Erdem AF, Ilgaz A, Yuksek MS, Gursan N, Atalay C. The effects of isoflurane, sevoflurane and desflurane anesthesia on the glyserol model of rhabdomyolysis-induced acute renal failure in rats. Eurasian J Med 2007;39:33–6.
- Lochhead KM, Kharasch ED, Zager RA. Anesthetic ef- fects on the glycerol model of rhabdomyolysis-induced acute renal failure in rats. J Am Soc Nephrol 1998;9:305– 9.
- Takahashi H, Shimokawa M, Sha K, Sakamoto T, Kawa- guchi M, Kitaguchi K, et al. Sevoflurane can induce rhab- domyolysis in Duchenne’s muscular dystrophy. [Article in Japanese] Masui 2002;51:190–2. [Abstract]
- Obata R, Yasumi Y, Suzuki A, Nakajima Y, Sato S. Rhab- domyolysis in association with Duchenne’s muscular dys- trophy. Can J Anaesth 1999;46:564–6.
- Shenton DW, Spitzer SA, Mulrennan BM. Tourniquet- induced rhabdomyolysis. A case report. J Bone Joint Surg Am 1990;72:1405–6.
- Palmer SH, Graham G. Tourniquet-induced rhabdomy- olysis after total knee replacement. Ann R Coll Surg Engl 1994;76:416–7.
- Vold PL, Weiss PJ. Rhabdomyolysis from tourniquet trauma in a patient with hypothyroidism. West J Med 1995;162:270–1.
- Sheth NP, Sennett B, Berns JS. Rhabdomyolysis and acute renal failure following arthroscopic knee surgery in a college football player taking creatine supplements. Clin Nephrol 2006;65:134–7.
- Karcher C, Dieterich HJ, Schroeder TH. Rhabdomyoly- sis in an obese patient after total knee arthroplasty. Br J Anaesth 2006;97:822–4.
- Lee YG, Park W, Kim SH, Yun SP, Jeong H, Kim HJ, et al. A case of rhabdomyolysis associated with use of a pneumatic tourniquet during arthroscopic knee surgery. Korean J Intern Med 2010;25:105–9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 17 Temmuz 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 49 Sayı: 3 |