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Rhabdomyolysis is a Potential Complication of Total Hip Arthroplasty in the Morbidly Obese

  • Case Report
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HSS Journal ®

Abstract

Rhabdomyolysis (RML) can complicate prolonged surgery and may lead to renal failure and death. Obese patients are at high risk for this complication. This complication has been recently described in bariatric surgery and prolonged spine surgery, but it is not well recognized in patients undergoing THA. We present an obese patient (BMI = 50) who developed RML and acute kidney injury after a total hip arthroplasty.

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References

  1. Alterman I, Sidi A, Azamfirei L, Copotoiu S, Ezri T. Rhabdomyolysis: Another complication after prolonged surgery. J Clin Anesth. 2007;1:64–66.

    Google Scholar 

  2. Bertrand M, Godet G, Fleron MH, Bernard MA, Orcel P, Riou B, Kieffer E, Coriat P. Lumbar muscle rhabdomyolysis after abdominal aortic surgery. Anesth Analg. 1997;1:11–15.

    Google Scholar 

  3. Bostanjian D, Anthone GJ, Hamoui N, Crookes PF. Rhabdomyolysis of gluteal muscles leading to renal failure: A potentially fatal complication of surgery in the morbidly obese. Obes Surg. 2003;2:302–305.

    Google Scholar 

  4. Dakwar E, Rifkin SI, Volcan IJ, Goodrich JA, Uribe JS. Rhabdomyolysis and acute renal failure following minimally invasive spine surgery: Report of 5 cases. J Neurosurg Spine. 2011;6:785–788.

    Google Scholar 

  5. de Freitas Carvalho DA, Valezi AC, de Brito EM, de Souza JC, Masson AC, Matsuo T. Rhabdomyolysis after bariatric surgery. Obes Surg. 2006;6:740–744.

  6. Efstratiadis G, Voulgaridou A, Nikiforou D, Kyventidis A, Kourkouni E, Vergoulas G. Rhabdomyolysis updated. Hippokratia. 2007;3:129–137.

  7. Ettinger JE, de Souza CA, Santos-Filho PV, Azaro E, Mello CA, Fahel E, Batista PB. Rhabdomyolysis: Diagnosis and treatment in bariatric surgery. Obes Surg. 2007;4:525–532.

    Google Scholar 

  8. Ettinger JE, Marcilio de Souza CA, Azaro E, Mello CA, Santos-Filho PV, Orrico J, Santana RC, Amaral P, Fahel E, Batista PB. Clinical features of rhabdomyolysis after open and laparoscopic roux-en-Y gastric bypass. Obes Surg. 2008;6:635–643.

    Google Scholar 

  9. Foster MR. Rhabdomyolysis in lumbar spine surgery: A case report. Spine (Phila Pa 1976). 2003;14:E276–8.

    Google Scholar 

  10. Harms S, Larson R, Sahmoun AE, Beal JR. Obesity increases the likelihood of total joint replacement surgery among younger adults. Int Orthop. 2007;1:23–26.

    Google Scholar 

  11. Karcher C, Dieterich HJ, Schroeder TH. Rhabdomyolysis in an obese patient after total knee arthroplasty. Br J Anaesth. 2006;6:822–824.

    Google Scholar 

  12. Lachiewicz PF, Latimer HA. Rhabdomyolysis following total hip arthroplasty. J Bone Joint Surg Br. 1991;4:576–579.

    Google Scholar 

  13. Lagandre S, Arnalsteen L, Vallet B, Robin E, Jany T, Onraed B, Pattou F, Lebuffe G. Predictive factors for rhabdomyolysis after bariatric surgery. Obes Surg. 2006;10:1365–1370.

    Google Scholar 

  14. Mognol P, Vignes S, Chosidow D, Marmuse JP. Rhabdomyolysis after laparoscopic bariatric surgery. Obes Surg. 2004;1:91–94.

    Google Scholar 

  15. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the united states, 1999–2004. JAMA. 2006;13:1549–1555.

    Google Scholar 

  16. Palmer SH, Graham G. Tourniquet-induced rhabdomyolysis after total knee replacement. Ann R Coll Surg Engl. 1994;6:416–417.

    Google Scholar 

  17. Papadakis M, Sapkas G, Tzoutzopoulos A. A rare case of rhabdomyolysis and acute renal failure following spinal surgery. J Neurosurg Spine. 2008;4:387–389.

    Google Scholar 

  18. Smith JW, Pellicci PM, Sharrock N, Mineo R, Wilson PD,Jr. Complications after total hip replacement. the contralateral limb. J Bone Joint Surg Am. 1989;4:528–535.

    Google Scholar 

  19. Vijay MK, Vijay P, Kundu AK. Rhabdomyolysis and myogloginuric acute renal failure in the lithotomy/exaggerated lithotomy position of urogenital surgeries. Urol Ann. 2011;3:147–150.

    Google Scholar 

  20. Warren JD, Blumbergs PC, Thompson PD. Rhabdomyolysis: A review. Muscle Nerve. 2002;3:332–347.

    Google Scholar 

  21. Ziser A, Friedhoff RJ, Rose SH. Prone position: Visceral hypoperfusion and rhabdomyolysis. Anesth Analg. 1996;2:412–415.

    Google Scholar 

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Disclosures

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. One or more of the authors or author’s institution have received or will receive payments from a commercial entity that may be perceived as a potential conflict of interest.

Each author certifies that his or her institution has approved the reporting of this case, that all investigations were conducted in conformity with ethical principles of research.

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Authors and Affiliations

  1. Hospital for Special Surgery, 535 E 70th Street, New York, NY, 10021, USA

    Susan M. Goodman MD, Mark Figgie MD, Douglas Green MD & Stavros Memtsoudis MD, PhD

  2. Weill Cornell College of Medicine, New York, NY, 10065, USA

    Susan M. Goodman MD, Mark Figgie MD, Douglas Green MD & Stavros Memtsoudis MD, PhD

Authors
  1. Susan M. Goodman MD
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  2. Mark Figgie MD
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  3. Douglas Green MD
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  4. Stavros Memtsoudis MD, PhD
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Correspondence to Susan M. Goodman MD.

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Goodman, S.M., Figgie, M., Green, D. et al. Rhabdomyolysis is a Potential Complication of Total Hip Arthroplasty in the Morbidly Obese. HSS Jrnl 9, 200–202 (2013). https://doi.org/10.1007/s11420-012-9310-z

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  • DOI: https://doi.org/10.1007/s11420-012-9310-z

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