Compartment Syndrome Following Total Knee Arthroplasty: Clinical Results of Late Fasciotomy

may be overlooked and misdiagnosed as peroneal nerve palsy or deep vein thrombosis 4) .Unfortunately, this misdiagnosis could have a profound impact on the patient's outcome.We report a case of a 77-year-old female who developed compartment syndrome after TKA and discuss risk factors for the condition, results of late fasciotomy, and other surgical indications for compartment syndrome. Case ReportA 77-year-old female with acute renal failure was transferred to our emergency department from an outside clinic.The patient had diabetes mellitus and had been on oral hypoglycemic agents.Three weeks before transfer to our hospital, TKA of the left knee was performed under spinal anesthesia and 10 days before transfer, TKA of the right knee was performed under spinal anesthesia.During the left knee TKA, the patient had a huge blood loss and 4 pints of packed red blood cells (PRBCs) were transfused.After surgery, the patient's hemoglobin (Hb) levels continued to fall, and thus 5 pints of PRBCs were transfused (2 pints, on the day of surgery; 1 pint, one day after surgery; and 2 pints, 1 week after surgery).At the time of the right knee TKA, there was also substantial bleeding, and 2 pints of PRBCs were transfused.The patient's postoperative Hb level continued to fall gradually and 2 Compartment Syndrome Following Total Knee Arthroplasty