A 31-year-old male sustained acute compartment syndrome to his left leg after a low-energy fall and required a 4-compartment fasciotomy release. His immediate postoperative course was complicated by acute tubular necrosis (ATN) with creatinine elevated to 4.89 mg/dL from rhabdomyolysis. ATN was managed with aggressive hydration, sodium bicarbonate, and alkaline diuresis, and his creatinine levels improved.
ATN from rhabdomyolysis is a rare complication of compartment syndrome that requires high suspicion and timely treatment to prevent further nephrotoxicity and the resultant increases in mortality. It is imperative for orthopedic surgeons to be aware of this potential complication.
1Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
2Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire
E-mail address for M.C. DeWolf: Matthew.C.DeWolf@hitchcock.org
Investigation Performed at Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A804).