Acute compartment syndrome following intramedullary pulse lavage and debridement for osteomyelitis of the tibia.

摘要

The implantation of gentamicin loaded polymethylmethacrylate (PMMA) beats and other local antibiotic carriers is a common practice in the treatment of chronic osteomyelitis as is the use of local jet lavage debridement. This article presents the case of a patient with chronic osteomyelitis of the tibia, who had no complication after debridement, intramedullary reaming and pulse lavage without tourniquet but sustained a compartment syndrome 2 weeks later during a second procedure in which an intraoperative tourniquet and pulse lavage were combined.