Bilateral compartment syndrome of the leg: treatment of its sequelae: case report
Abstract
Introduction: bilateral compartment syndrome (CS) of the lower extremities is a rarely described entity with potentially devastating sequelae. Foot drop is a common sequelae of CS of the leg.
Materials and Methods: this is a case report in which a bilateral transfer of the posterior tibial tendon to the anterior tibial tendon and toe extensors was performed following the technique described by Di Masi.
Results: the patient’ gait and function improved, with good/excellent results according to the Stanmore and AOFAS scales, without the use of orthoses, and with pain-free gait.
Conclusion: the use of this technique of transferring the posterior tibial tendon in two hemitendons to the
anterior tibial tendon and toe extensors is presented as an alternative with good short- and medium-term functional results.
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References
Warren M, Dhillon G, Muscat J, Abdulkarim A. Atraumatic bilateral acute compartment syndrome of the lower legs: a review of the literature. Cureus. 2021 Dec 8;13(12):e20256.
Khan F. Rhabdomyolysis: a review of the literature. Neth J Med. 2009;67(9):272–84.
Chatzizisis YS, Misirli G, Hatzitolios AI, Giannoglou GD. The syndrome of rhabdomyolysis: complications and treatment. Vol. 19, Eur J Intern Med. 2008. p. 568–74.
Köstler W, Strohm PC, Südkamp NP. Acute compartment syndrome of the limb. Vol. 35, Injury. 2004. p. 1221–7.
di Masi G, Mariano S, Gonzalo B, Danilo B. Transferencia tendinosa de tibial posterior en parálisis del nervio peróneo común: ¿El fin del pie caído? Rev Argent Neuroc. 2014;28(2):48–54.
Parra-Téllez P, Jiménez-López H, López-Gavito E, Vázquez-Escamilla J. Transposición tendinosa del tibial posterior al centro del pie en lesiones neuromusculares. Experiencia en pacientes adultos. Acta Ortop Mex.
;31(2):61–6.
Yeap J, Singh D, Birch R. A method for evaluating the results of tendon transfers for drop foot. Clin Orthop Relat Res. 2001;383:208–13.
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical Rating Systems for the Ankle-Hindfoot, Midfoot, Hallux, and Lesser Toes. Foot Ankle Int. 1994 Jul 1;15(7):349–53.
Hislop, Montgomery J. Técnicas de exploración manual . In: DanielsWorthingham’s : Pruebas funcionales musculares. 6a ed. Marban; 1999.
Ochoa-Gómez J, Villar-Arias A, Aresti I, Marco-Aguilar P. A case of severe hyperkalaemia and compartment syndrome due to rhabdomyolysis after drugs abuse. Resuscitation. 2002 Jul;54(1):103–5.
Abdullah MS, AL-Waili NS, Butler G, Baban NK. Hyperbaric Oxygen as an Adjunctive Therapy for Bilateral Compartment Syndrome, Rhabdomyolysis and Acute Renal Failure after Heroin Intake. Arch Med Res. 2006 May;37(4):559–62.
Rodriguez R. The Bridle Procedure in the Treatment of Paralysis of the Foot. Foot Ankle. 1992;13(2):63–9.
Wiesseman GJ. Tendon transfers for peripheral nerve injuries of the lower extremity. Orthop Clin North Am. 1981 Apr;12(2):459–67.
Mayer L. The physiological method of tendon transplants reviewed after forty years. Instr Course Lect. 1956;13:116–20.
Ozkan T, Tuncer S, Ozturk K, Aydin A, Ozkan S. Surgical restoration of drop foot deformity with tibialis posterior tendon transfer. Acta Orthop Traumatol Turc . 2007;41(4):259–65.
Watkins M, Jones J, Ryder C, Brown Jr T. Transplantation of the posterior tibial tendon. J Bone Joint Surg Am . 1954 Dec;36-A(6):1181–9.
McCall RE, Frederick HA, McCluskey GM, Riordan DC. The Bridle procedure: a new treatment for equinus and equinovarus deformities in children. J Pediatr Orthop. 1991 Jan;11(1):83–9.
Hove L, Nilsen P. Posterior tibial tendon transfer for drop-foot. 20 cases followed for 1-5 years. Acfa Orthop Scand . 1998;69(9):608–10.
Kilic A, Parmaksizoglu A, Kabukcuoglu Y, Bilgili F, Sokucu S. Extramembranous ransfer of the tibialis posterior tendon for the correction of drop foot deformity. Acta Orthop Traumatol Turc. 2008;42(5):310–5.
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