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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Muscles of the Leg that Move the Foot and Toes01:28

Muscles of the Leg that Move the Foot and Toes

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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Related Experiment Video

Updated: Oct 1, 2025

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg

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Compartment Syndrome following Below-Knee Amputation.

Adam S Gerry1, Zachary K Christopher2, Karan Patel2

  • 1Midwestern University-Arizona College of Medicine, Glendale, Arizona, USA.

Case Reports in Orthopedics
|March 3, 2022
PubMed
Summary

Compartment syndrome is a rare complication after below-knee amputation. Early symptoms can be masked by pain management and infection, leading to tissue necrosis and requiring surgical intervention.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Vascular Surgery

Background:

  • Below-knee amputation (BKA) is a common procedure for various lower limb conditions.
  • Acute compartment syndrome (ACS) is a surgical emergency characterized by increased pressure within a fascial compartment.
  • The diagnosis of ACS can be challenging in the postoperative setting, especially after BKA.

Observation:

  • A 38-year-old male with Proteus syndrome underwent elective transtibial BKA.
  • The patient experienced severe postoperative pain and required high doses of analgesics.
  • Initial suspicion of surgical site infection led to re-operation for irrigation and debridement.

Findings:

  • Necrotic tissue was discovered during re-operation, attributed to a missed acute compartment syndrome.
  • The compartment syndrome led to tissue necrosis, subsequently causing a deep infection.
  • Multiple surgical debridements were necessary to manage the infection and its sequelae.

Implications:

  • This case highlights the potential for ACS to be masked by postoperative pain and infection following BKA.
  • Orthopedic surgeons must maintain a high index of suspicion for ACS in BKA patients presenting with severe or escalating pain.
  • Early recognition and management of ACS are crucial to prevent devastating complications like tissue necrosis and infection.