Search Our Scientific Publications & Authors

Int Wound J 2019 Apr 4. Epub 2019 Apr 4.

Plastic and Reconstructive Surgery Service, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.

Negative pressure wound therapy (NPWT) represents one of the many solutions for complex wounds of the upper extremity. The goal of this study was to investigate the most common indications for definitive treatment of wound defects in the upper extremity with NPWT and to report revision surgery outcomes after its use. A systematic review of the literature was performed. Read More

J Trauma Acute Care Surg 2019 Apr 1. Epub 2019 Apr 1.

US Army Institute of Surgical Research, Fort Sam Houston, TX.

Acute compartment syndrome (ACS) is a serious medical condition that can occur following traumatic injury to an extremity. If left undiagnosed, ACS can eventuate in amputation of the limb or even death. Because of this, fasciotomy to release the pressure within the muscle and restore tissue perfusion is often performed upon suspicion of ACS, as the sequelae to fasciotomy are less severe than those associated with not performing the fasciotomy. Read More

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.

Objective: We previously proposed a grading system for blunt thoracic aortic injury (BTAI) designed to guide therapy. This study analyzed our outcomes since implementing this system.

Methods: A single-center, retrospective study was conducted of consecutive patients presenting with BTAI between January 2014 and December 2017. Read More

Noro Psikiyatr Ars 2019 Mar 20;56(1):75-78. Epub 2018 Apr 20.

Department of Chest Surgery, Memorial Hospital, İstanbul, Turkey.

The drop foot cases that are associated with developing neuropathies as a result of acute compartment syndrome or femoral artery ischemia after having cannulation for venoarterial extracorporeal membrane oxygenation (VA-ECMO) have been reported rarely in literature. In this case report, female patients who are 21 years old and developed drop foot depending on ECMO during the process of lung transplantation will be presented as both to be one of the rare neurological complications connected to ECMO and its possible causes will be analyzed. Read More

J Surg Educ 2019 Mar 23. Epub 2019 Mar 23.

Department of Surgery, Walter Reed National Military Medical Center/Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Background: Many injuries from recent wars involve extremity trauma secondary to blasts, which predispose patients to developing extremity compartment syndrome. In military studies, 17% of fasciotomies required revision on arrival to a Role 4 hospital, and 41% of these had missed compartments, which is similar to that seen in civilian centers. While training has decreased this rate to 8%, this number is still too high. Read More

Injury 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy. Electronic address:

Introduction: Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury. Read More

BMJ Case Rep 2019 Mar 14;12(3). Epub 2019 Mar 14.

Orthopaedics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India.

Peripheral artery pseudoaneurysm is rare in upper extremities compared with lower extremities. Early diagnosis and prompt management are two cornerstones of successful outcomes in these cases. Delay can lead to limb and life-threatening complications. Read More

Clin Case Rep 2019 Feb 9;7(2):343-345. Epub 2019 Jan 9.

Anesthesia University of Mississippi Medical Center Jackson Mississippi.

It is important to be aware of complications associated with axillary artery cannulation, especially the more common ones that can compromise limb integrity. Pulse oximeter and arterial line placed on the right upper extremity can aid in perfusion of the right arm during right axillary artery cannulation. Read More

Case Rep Emerg Med 2019 29;2019:7891275. Epub 2019 Jan 29.

Inspira Medical Center, Vineland, NJ 08360, USA.

Gluteal compartment syndrome is a rare condition that often develops following immobilization either secondary to illicit drug and alcohol abuse or improper surgical positioning. A case of a 22-year-old female with left lower extremity pain, weakness, and numbness after prolonged stasis from a night of drug and alcohol use is presented. She also complained of left low back pain. Read More

Pharmacotherapy 2019 Apr 27;39(4):508-513. Epub 2019 Mar 27.

Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, Maryland.

Objective: We describe a multicenter descriptive case series of six patients admitted with synthetic cannabinoid (SC) intoxication displaying similar symptoms and sequelae, all resulting in multiple organ failure.

Methods: Patients were included in this report if they presented with known SC use and experienced multiple organ failure between March 1, 2016, and July 19, 2016, to the intensive care units of three hospitals in Maryland. Patients were followed to either discharge or death, and complications related to SC were documented. Read More

Plast Surg Nurs 2019 Jan/Mar;39(1):10-13

Jeremie D. Oliver, BS, BA, is MD-MS candidate, Mayo Clinic School of Medicine, Mayo Clinic, Rochester, MN.

Forearm compartment syndrome is a relatively underreported event compared with compartment syndrome of the lower extremity or trunk. The aim of this review of the literature was to provide insight into the potential consequences of certain treatment modalities in the control of acute compartment syndrome of the forearm based on data presented over the past 44 years. A comprehensive search was conducted across several databases including EMBASE, Ovid MEDLINE, Cochrane Database of Systematic Reviews, and Scopus, capturing studies published from 1973 to 2017 to identify potential articles for inclusion in the review. Read More

Zhonghua Shao Shang Za Zhi 2019 Feb;35(2):110-115

Department of Burns and Plastic Surgery, Guangzhou Red Cross Hospital, Medical College, Jinan University, Guangzhou 510220, China.

To analyze the causes of complication of early acute kidney injury (AKI) in four severely burned patients, and to explore the related treatment methods. The clinical data of 4 patients with severe burn complicated with early AKI admitted to Guangzhou Red Cross Hospital Affiliated to Medical College of Jinan University (hereinafter referred to as our hospital) from June 2014 to December 2017 were retrospectively analyzed. All the patients were male, aged 23-33 (30±5) years old, with depth of burns ranged from deep partial-thickness to full-thickness, complicated with myofascial compartment syndrome of extremities and varying degrees of striated muscle injury, and treated in other hospitals before transfer to our hospital. Read More

Trauma Surg Acute Care Open 2019 24;4(1):e000267. Epub 2019 Jan 24.

Department of Surgery, UNLV School of Medicine, Las Vegas, Nevada, USA.

Background: Timely tourniquet placement may limit ongoing hemorrhage and reduce the need for blood products. This study evaluates if prehospital tourniquet application altered the initial transfusion needs in arterial injuries when compared with a non-tourniquet control group.

Methods: Extremity arterial injuries were queried from our level I trauma center registry from 2013 to 2017. Read More

Clin Podiatr Med Surg 2019 Apr 12;36(2):163-171. Epub 2018 Dec 12.

Orthopaedic Center, Gundersen Health System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Performing a thorough clinical evaluation following an acute displaced intra-articular calcaneal fracture is paramount for optimal surgical timing and long-term outcome. Initial survey must entail a comprehensive evaluation to rule out concurrent injuries. Focused lower extremity examination must involve a complete neurovascular and soft tissue evaluation to identify such conditions as compartment syndrome or compromised integument, which necessitate urgent intervention. Read More

Medicine (Baltimore) 2019 Feb;98(7):e14497

Department of Orthopedic Traumatology.

Background: The term "floating" is used in orthopedic literature to describe certain patterns of skeletal injuries that share one common character which is disruption and discontinuity of bones above and below a joint. The first time used in orthopedic literature being in late 1970 to describe a type of elbow injury. Later the word was used increasingly and applied to a variety of injuries affecting the knee, shoulder, hip, forearm, hand, and ankle. Read More

Cureus 2018 Dec 4;10(12):e3683. Epub 2018 Dec 4.

Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Compartment syndrome is an orthopedic emergency in which the neurovasculature of the extremity is compromised. Typically, it presents unilaterally and is the consequence of major trauma to the extremity in the form of fracture. However, more uncommon etiologies of compartment syndrome have been reported, which includes reperfusion injury, burns, and congenital or acquired bleeding disorders. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):93-95

1 Department of Orthopedic Surgery, Shiroyama Hospital, Osaka, Japan.

Acute compartment syndrome of the forearm secondary to hematoma without direct trauma has been reported rarely. We report a case of acute compartment syndrome of the forearm following a hematoma after playing golf. A 55-year-old man felt pain in his left forearm while playing golf that gradually worsened. Read More

NASN Sch Nurse 2019 May 9;34(3):155-161. Epub 2019 Feb 9.

Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine.

Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life- and limb-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus, catastrophic brain or cervical spine injuries, hypoglycemia, blunt chest/abdominal injuries, or extremity fractures requiring surgery. It is important for the school nurse to recognize potential life- and limb-threatening emergencies associated with sport and physical activity, to initiate stabilization of the student with life- and limb-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider's office, or directly to the closest emergency department via emergency medical services). Read More

World J Emerg Surg 2019;14. Epub 2019 Feb 4.

7Department of Anaesthesiology and General Intensive Care, Medical University of Vienna, Vienna, Austria.

Background: Early diagnosis of acute compartment syndrome (ACS) of the leg is essential to improve the outcome. Direct invasive measurement is currently recommended to measure intracompartmental pressure. A non-invasive and reproducible means of making the diagnosis would be a step forward. Read More

Eur J Trauma Emerg Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Pediatric Surgery, General and Thoracic Surgery, University Children's Hospital Zurich, Steinwiessstrasse 75, 8032, Zurich, Switzerland.

Purpose: Needle manometry is a tool to confirm suspected acute compartment syndrome (ACS). There is scarce evidence of normal pressure values of the lower extremities in children. The aim of this study is to assess the normal compartment pressures in non-injured lower extremities of children. Read More

J Surg Res 2019 May 24;237:50-55. Epub 2019 Jan 24.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Johns Hopkins Medical Institutes, Baltimore, Maryland. Electronic address:

Background: We describe the feasibility and long-term outcomes of using femoral vein (FV) for arteriovenous fistula (AVF) and lower extremity bypass (LEB) creation.

Methods: All patients undergoing AVF or LEB using autogenous FV by a single surgeon (April 2006 to September 2013) were reviewed. Perioperative (30-d) complications and long-term outcomes are described. Read More

J Pediatr Orthop B 2019 Jan 25. Epub 2019 Jan 25.

Department of Orthopaedics, The Ohio State University Wexner Medical Center.

Acute compartment syndrome (ACS) is an emergency with potentially devastating consequences. Delayed recognition may be especially concerning for the pediatric population, as children present with a wide variety of etiologies, symptoms, and levels of communication. We sought to determine the average time from injury to diagnosis, most common presentations, the degree to which providers obtained pressure measurements, and outcomes of ACS in the pediatric population. Read More

Arch Plast Surg 2019 Jan 15;46(1):69-74. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Background: Local symptoms and signs of snake envenomation mimic the clinical features of compartment syndrome. It is important to measure the intracompartmental pressure to diagnose compartment syndrome. In this study, we present our experiences of confirming compartment syndrome and performing fasciotomy in snakebite patients based on high intracompartmental pressure findings. Read More

Surgery 2019 Jan 21. Epub 2019 Jan 21.

BG Trauma Center Ludwigshafen, Department for Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Center, University of Heidelberg, Ludwigshafen, Germany. Electronic address:

Background: Burn-induced compartment syndrome is a severe sequela after circumferential burns of the extremities and is avoidable by immediate release of the underlying pressure under the eschar. Although the current gold standard is operative escharotomy, this procedure carries considerable morbidity. Our study evaluates the safety and effectiveness of immediate enzymatic debridement to prevent the need for operative escharotomy because of burn-induced compartment syndrome in selected patients. Read More

J Am Acad Orthop Surg Glob Res Rev 2018 Nov 26;2(11):e077. Epub 2018 Nov 26.

University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY (Dr. Matthews); and the UBMD Department of Orthopaedics, Buffalo, NY (Dr. Mutty).

In the lower extremity, compartment syndrome has been associated with fractures of the tibial plateau, shaft, and plafond. The patient was an 89-year-old male driver involved in a T-bone type motor vehicle accident. He sustained a closed transverse fibular shaft fracture and initially had fullness in his anterior/lateral compartments but no pain with passive and active range of motion of his ankle. Read More

Injury 2019 Feb 11;50(2):453-461. Epub 2018 Dec 11.

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy. Electronic address:

Introduction: Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury. Read More

Arthroplast Today 2018 Dec 3;4(4):421-425. Epub 2018 Nov 3.

Tufts University School of Medicine, Boston, MA, USA.

Calcific myonecrosis (CM) is a rare soft tissue condition associated with previous trauma that presents with a large lower extremity mass and can be misdiagnosed as a malignancy. Biopsy, accidental entry, or disturbance to the lesion can be accompanied by a high risk of complications. We present the case of a 72-year-old man with severe post-traumatic knee arthritis, as well as a large pretibial mass consistent with CM, who successfully underwent total knee arthroplasty. Read More

Cureus 2018 Oct 12;10(10):e3443. Epub 2018 Oct 12.

Podiatry and Wound Care, OrthoNeuro, Columbus, USA.

Compartment syndrome is a pathologic condition in which a closed anatomical compartment's pressure, most often in the arms and legs, increases to such an extent that the microcirculation of the tissues in that compartment is diminished either acutely or subacutely over time. Such vascular compromise, if untreated, may result in tissue necrosis and muscle and nerve damage. If limb tissue damage is severe enough, amputation of the involved extremity may be necessary. Read More

Curr Probl Surg 2018 Jul 23;55(7):256-273. Epub 2018 Aug 23.

Professor of Surgery, Emergency Medicine, and Anesthesia Medical Director, Surgical Intensive Care Unit Associate Trauma Medical Director University of Southern California, Los Angeles, CA. Electronic address:

Clin Pract Cases Emerg Med 2018 Nov 5;2(4):323-325. Epub 2018 Sep 5.

Keck School of Medicine of the University of Southern California, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California.

Intraosseous (IO) needles are used in critically ill patients when it is not possible to quickly obtain venous access. While they allow for immediate access, IO infusions are associated with complications including fractures, infections, and compartment syndrome. We present a case where point-of-care ultrasound was used to quickly identify a malfunctioning IO needle that resulted in compartment syndrome of the lower extremity. Read More

Int J Sports Med 2018 Dec 12;39(14):1081-1087. Epub 2018 Nov 12.

Máxima Medical Center, Surgery, Veldhoven, Netherlands.

Exercise-induced lower leg pain may be caused by chronic exertional compartment syndrome (CECS). Anterior or deep posterior compartments are usually affected. Knowledge about CECS of the lateral compartment (lat-CECS) is limited and outcome after fasciotomy is unknown. Read More

Ann Vasc Dis 2018 Sep;11(3):355-357

Trauma Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand.

Venous thromboembolism (VTE) is a major healthcare problem that results in significant mortality, morbidity, and expenditure of resources. It compounds with pulmonary embolism (PE) and deep vein thrombosis (DVT). Phlegmasia cerulea dolens (PCD) is an uncommon but potentially life-threatening complication of acute DVT characterized by marked swelling of the extremities with pain and cyanosis, which in turn may lead to arterial ischemia and ultimately gangrene with high amputation and mortality rates. Read More

Burns 2018 12 31;44(8):1947-1953. Epub 2018 Oct 31.

Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

The effects of obesity on resuscitation after severe burn are not well understood. Formulas to calculate 24-h resuscitation volumes incorporate body weight, which in obese patients often leads to excessive fluid administration and potential complications such as pulmonary edema, extremity or abdominal compartment syndrome, and longer mechanical ventilation. We evaluated the impact of obesity on 24-h fluid resuscitation after severe burn using a cohort of 145 adults admitted to the burn ICU from January 2014 to March 2017 with >20% total body surface area burns. Read More

Anat Sci Int 2019 Jan 31;94(1):150-153. Epub 2018 Oct 31.

Department of Pathology, Anatomy, and Laboratory Medicine (PALM), West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown, WV, USA.

Gantzer muscles are variant muscles in the anterior forearm inserting into the flexor pollicis longus or, less often, the flexor digitorum profundus. The presence of Gantzer muscles can cause a compressive neuropathy affecting the anterior interosseous nerve (Kiloh-Nevin syndrome). These muscles must also be considered when anterior forearm fasciotomies are performed for the management of acute compartment syndrome. Read More

Oper Neurosurg (Hagerstown) 2018 Oct 17. Epub 2018 Oct 17.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Background And Importance: Acute bilateral brachial plexus injury is rare and usually a result of traction injury. Immediate operative intervention is reserved for rare cases of ongoing compression of the plexus; the role for acute decompression of the brachial plexus secondary to compartment syndrome has not been previously described. In this report, we describe the technique and role for urgent brachial plexus decompression. Read More

Injury 2018 Dec 6;49(12):2244-2247. Epub 2018 Oct 6.

University of Mississippi Medical Center, Department of Orthopedic Surgery and Rehabilitation, 2500 North State Street, Jackson, MS, 39216, United States. Electronic address:

Purpose: The purpose of this study is to evaluate the incidence of neurovascular injuries, compartment syndrome, early postoperative infection as well as the injury factors predictive of neurovascular injury following ballistic fractures of the radius and ulna.

Methods: A retrospective review was performed to identify all ballistic fractures of the radius and ulna in skeletally mature patients over a 5-year period at a single level-1 trauma center. Chart and radiographic review was performed to identify patient and injury demographics, associated neurologic or vascular injuries, and fracture characteristics. Read More

Curr Sports Med Rep 2018 Oct;17(10):347-353

Department of Emergency Medicine, Northwestern Medicine, Chicago, IL.

Exertional limb pain is a common problem encountered in recreational and competitive athletes. Affecting both the upper and lower extremities, this broad entity can be musculoskeletal, vascular, neurologic, oncologic, or infectious in origin. This article focuses on the vascular causes of exercise-related extremity pain, which encompass a cadre of elusive diagnoses. Read More

Exp Clin Transplant 2018 Oct 5. Epub 2018 Oct 5.

From the Department of Anesthesiology, Mayo Clinic, Jacksonville, Florida, USA.

Acute compartment syndrome is the physiologic consequence of increasing pressures within an enclosed anatomic space; if left untreated, it can subsequently cause irreversible necrosis, nerve injury, and tissue damage. A number of iatrogenic causes have been reported in the literature; however, to the best of our knowledge, there are no prior reports of upper extremity compartment syndrome in orthotopic liver transplant following arterial line placement. Here, we report a 52-year-old male with a history of end-stage liver disease secondary to primary sclerosing cholangitis who presented for orthotopic liver transplant. Read More

Surg Neurol Int 2018 20;9:190. Epub 2018 Sep 20.

Department of Orthospine, Sir Ganga Ram Hospital, New Delhi, India.

Background: Compartment syndromes have been reported in nearly every anatomical area of the extremities. Similarly, in the lumbar spine, there is a risk of a compartment syndrome following either direct or indirect injury to the paraspinal muscles. In this study, we present a case of lumbar paraspinal compartment syndrome after percutaneous pedicle screw fixation for a spine fracture. Read More

J Emerg Med 2018 12 2;55(6):e137-e139. Epub 2018 Oct 2.

Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Background: Compartment syndrome is often considered in patients with long-bone fractures and soft-tissue injuries, but is not as commonly associated with a period of unconsciousness.

Case Report: A 65-year-old man was brought to our emergency department (ED) because he had lost consciousness for an unknown amount of time after snorting heroin. He had severe pain in his upper right arm. Read More

J Hand Surg Asian Pac Vol 2018 Sep;23(3):395-398

* Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.

A 16-year-old man sustained a minor penetrating injury to his forearm, resulting in pseudoaneurysm formation that caused acute compartment syndrome with muscle contracture. Surgical treatment, including fasciotomy, evacuation of the hematoma and aneurysmectomy, followed by intensive hand therapy provided a successful outcome. Traumatic pseudoaneurysm after penetrating injury is a rare cause of acute forearm compartment syndrome. Read More

J Am Acad Orthop Surg 2019 Jan;27(1):e1-e8

From the Department of Orthopaedics, Vanderbilt University Medical Center, Nashville, TN.

High-voltage electrical injuries are relatively rare injuries that pose unique challenges to the treating physician, yet the initial management follows well-established life-saving, trauma- and burn-related principles. The upper extremities are involved in most electrical injuries because they are typically the contact points to the voltage source. The amount of current that passes through a specific tissue is inversely proportional to the tissue's intrinsic resistance with electricity predominantly affecting the skeletal muscle secondary to its large volume in the upper extremity. Read More

J Bone Joint Surg Am 2018 Oct;100(19):1645-1652

Departments of Health Policy and Management (K.P.F. and E.M.) and Biostatistics (J.D. and V.Z.), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Background: We recorded measurements of muscle perfusion using near-infrared spectroscopy (NIRS) and intramuscular pressure (IMP) in a study designed to develop a decision rule for predicting acute compartment syndrome (ACS). The purpose of this study was to report our experience measuring NIRS data in the context of this broader investigation and to explore factors related to variations in data capture.

Methods: One hundred and eighty-five patients with lower-leg injuries had data consisting of continuous NIRS measurement of the O2 saturation in the anterior compartment of the injured limb and the contralateral (control) limb, and continuous IMP recording in the anterior and deep posterior compartments of the injured leg as part of their participation in an institutional review board-approved multicenter trial. Read More

Phys Sportsmed 2019 02 15;47(1):27-30. Epub 2018 Oct 15.

b Department of Orthopaedic Surgery, Warren Alpert School of Medicine , Brown University , Providence , RI , USA.

Chronic exertional compartment syndrome (CECS) is an overuse injury characterized by increased intracompartmental pressure during exercise. CECS has been described in the foot, thigh, and trunk, but 95% of cases occur in the lower leg. Interestingly, CECS may also affect the upper extremities and has been best described in the forearms. Read More

Surg Clin North Am 2018 Oct;98(5):1081-1096

Department of Surgery, Division of Vascular Surgery, University of Tennessee, 1940 Alcoa Highway, Building E, Suite 120, Knoxville, TN 37920, USA.

This article details the classification of limb ischemia, outlines the numerous causes of limb ischemia, highlights the diagnosis with treatment options and describes common postoperative conditions after limb ischemia intervention. The acute limb ischemia causes in the article are divided into sections including the presentation, diagnosis, and therapy for each cause. The broad limb ischemia causes include embolism, thrombosis, venous obstruction, trauma, and upper-extremity unique pathologic condition. Read More

BMJ Case Rep 2018 Sep 15;2018. Epub 2018 Sep 15.

Department of Urology, Niigata Prefectural Central Hospital, Joetsu, Japan.

Common iliac artery (CIA) thrombosis is a rare surgical complication which may cause serious leg damage and may occasionally be fatal. We experienced two cases of CIA thrombosis in nephroureterectomy with the pluck technique for upper tract urothelial carcinoma. Patients were treated using emergent femoro-femoral bypass, and one patient was treated with fasciotomy of the lower extremity for compartment syndrome. Read More

J Trauma Acute Care Surg 2018 Dec;85(6):1038-1042

From the Department of Surgery (J.R.W., J.C., K.I.), LAC/USC Hospital, Los Angeles, California; Department of Surgery (J.R.W., A.S.T., R.S.), Tulane University, New Orleans, Louisiana; Department of Surgery (E.M.C., C.C.), Denver Health, Denver, Colorado; Department of Surgery, Shock Trauma (J.M., M.B.), Baltimore, Maryland; Department of Surgery (J.A.H., M.L.C.), University of Texas Health Science Center at Houston, Houston, Texas; Department of Surgery (MJS, J.L., M.T.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; and Department of Surgery (M.M.M.), Louisiana State University, New Orleans, Louisiana.

Background: There exists a long established but not validated practice of placing temporary intravascular shunts (TIVS) in cases of combined vascular and orthopedic extremity trauma. Though logical to prioritize blood flow, large-scale data to support this practice is lacking. We hypothesize that the order of repair yields no difference in outcomes in combined vascular and orthopedic extremity trauma and offer a larger-scale analysis than is previously available. Read More

Mil Med 2018 09;183(suppl_2):105-107

Joint Trauma System, 3698 Chambers Pass, JBSA Fort Sam Houston, TX.

Fractures continue to account for a large proportion of combat-related injuries. The basic tenets of irrigation, debridement, soft tissue care, and vigilant monitoring/fasciotomy for acute compartment syndrome persist. Closed management of fractures with splinting or casting is acceptable. Read More