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Compartment Syndrome After Tibial Intramedullary Nail Removal and Intramedullary Debridement: A Case Report
Davin C Gong1, Vandan Patel, Nicholas Farrar
1Department of Orthopaedic Surgery, University of Michigan, Michigan Medicine, Ann Arbor, Michigan.
Case:
A 45-year-old man who sustained an open tibial shaft fracture treated with intramedullary (IM) nailing 9 years earlier presented with persistent pain and concern for occult infection. He underwent tibial nail removal and debridement with reamer-irrigator-aspirator. Postoperative course was complicated by acute compartment syndrome.
Conclusion:
This is a unique case of postoperative compartment syndrome after IM debridement and tibial hardware removal. A high index of suspicion should be prioritized in patients who complain of severe or unexpected pain to mitigate delays in diagnosis and aid in early treatment.
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