Compartment Syndrome Secondary to Intraosseous Access Abutting Tibial Stem Cement Mantle of a Total Knee Arthroplasty: A Case Report. Issue 1 (January 2022)

• Record Type: Journal Article
• Authors: Chughtai, Morad; Pang, Aaron; Khan, Taiba; Cantrell, William C.; Mesko, Nathan W.; Kamath, Atul F.
• Is Part Of: JBJS case connector. Volume 12:Issue 1(2022)
• Publication Date: 2022-01
• Subjects: elderly -- male -- compartment syndrome -- intraosseous needle -- intraosseous access -- IO access -- IO needle -- erythema -- swelling -- mottled skin -- foot drop -- Stryker manometry device -- cement mantle -- elevated creatinine kinase -- elevated lactate -- TKA -- fasciotomy -- tibia; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00655
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 79-year-old man 6 days status-post left total knee arthroplasty (TKA) presented to our institution from an outside hospital (OSH) after a suspected STEMI and ventricular fibrillation arrest. At the OSH, intraosseous (IO) access was placed in his right tibia. Orthopaedics was consulted for compartment syndrome at the IO access site. X-rays demonstrated this was secondary to the IO access abutting the cement mantle of a stemmed tibial component of a remote TKA, for which the patient required emergent fasciotomies. Conclusions: Healthcare providers should be cognizant of potential orthopaedic hardware that can impede proper introduction of IO access.