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Well leg compartment syndrome postorthognathic surgery under hypotensive anesthesia and reverse Trendelenburg position: a case report and literature review

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Abstract

Introduction

Well leg compartment syndrome is a rare postoperative condition that occurs as a result of non-traumatic ischemic insult. It has similar pathophysiology to compartment syndrome; however, no definitive etiology is identified. Several risk factors such as patient position, leg position, young age, and high BMI for the development of this condition are considered.

Case report

A 30 years old male smoker and overweight, underwent mandibular and maxillary osteotomies in reverse Trendelenburg position. He developed a WLCS post-operative and treated with fasciotomy.

Conclusion

Increased Awareness of this rare occurrence and predisposition aids in understanding and prompt management. This article provides a rare case that has occurred in reverse Trendelenburg position with less obvious risk factors than typically reported in the literature

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery Division, Prince Mohammed Bin Abdulaziz Hospital, Ar Rawabi, 9259 AlWahah St., Riyadh, 14214, Saudi Arabia

    Mohammed Alshakhas & Abdulla Alatel

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  1. Mohammed Alshakhas
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  2. Abdulla Alatel
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Correspondence to Mohammed Alshakhas.

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Alshakhas, M., Alatel, A. Well leg compartment syndrome postorthognathic surgery under hypotensive anesthesia and reverse Trendelenburg position: a case report and literature review. Oral Maxillofac Surg 25, 417–420 (2021). https://doi.org/10.1007/s10006-020-00936-6

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  • DOI: https://doi.org/10.1007/s10006-020-00936-6

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