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Intraosseous access associated compartment syndrome

"Healthcare providers should be cognizant of potential orthopaedic hardware that can impede proper introduction of IO access" Chughtai et al (2022).

"Healthcare providers should be cognizant of potential orthopaedic hardware that can impede proper introduction of IO access" Chughtai et al (2022).

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Intraosseous access associated compartment syndrome

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.


Reference:

Chughtai M, Pang A, Khan T, Cantrell WC, Mesko NW, Kamath AF. Compartment Syndrome Secondary to Intraosseous Access Abutting Tibial Stem Cement Mantle of a Total Knee Arthroplasty: A Case Report. JBJS Case Connect. 2022 Feb 2;12(1). doi: 10.2106/JBJS.CC.21.00655. PMID: 35108232.

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