HSS Journal ®

, Volume 9, Issue 2, pp 200–202

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

  • Susan M. Goodman
  • Mark Figgie
  • Douglas Green
  • Stavros Memtsoudis
Case Report

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.

Keywords

total hip arthroplasty rhabdomyolysis acute kidney injury obesity 

References

  1. 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. 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. 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. 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. 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.Google Scholar
  6. 6.
    Efstratiadis G, Voulgaridou A, Nikiforou D, Kyventidis A, Kourkouni E, Vergoulas G. Rhabdomyolysis updated. Hippokratia. 2007;3:129–137.Google Scholar
  7. 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. 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. 9.
    Foster MR. Rhabdomyolysis in lumbar spine surgery: A case report. Spine (Phila Pa 1976). 2003;14:E276–8.Google Scholar
  10. 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. 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. 12.
    Lachiewicz PF, Latimer HA. Rhabdomyolysis following total hip arthroplasty. J Bone Joint Surg Br. 1991;4:576–579.Google Scholar
  13. 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. 14.
    Mognol P, Vignes S, Chosidow D, Marmuse JP. Rhabdomyolysis after laparoscopic bariatric surgery. Obes Surg. 2004;1:91–94.Google Scholar
  15. 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. 16.
    Palmer SH, Graham G. Tourniquet-induced rhabdomyolysis after total knee replacement. Ann R Coll Surg Engl. 1994;6:416–417.Google Scholar
  17. 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. 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. 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. 20.
    Warren JD, Blumbergs PC, Thompson PD. Rhabdomyolysis: A review. Muscle Nerve. 2002;3:332–347.Google Scholar
  21. 21.
    Ziser A, Friedhoff RJ, Rose SH. Prone position: Visceral hypoperfusion and rhabdomyolysis. Anesth Analg. 1996;2:412–415.Google Scholar

Copyright information

© Hospital for Special Surgery 2012

Authors and Affiliations

  • Susan M. Goodman
    • 1
    • 2
  • Mark Figgie
    • 1
    • 2
  • Douglas Green
    • 1
    • 2
  • Stavros Memtsoudis
    • 1
    • 2
  1. 1.Hospital for Special SurgeryNew YorkUSA
  2. 2.Weill Cornell College of MedicineNew YorkUSA

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