A combination of fasciotomy, debridement, antibiotics, and hyperbaric oxygen therapy successfully preserved limb function in a patient with gas-gangrene following arthroscopic surgery.
May support limb salvage in rare post-arthroscopic gas gangrene; hypothesis-generating for adjunctive hyperbaric oxygen.
An arthroscopic anterior cruciate ligament repair was followed by gas-gangrene and the development of a compartment syndrome. Treatment consisted of extensive fasciotomy, debridement, and antibiotic therapy with penicillin G, cefotiam, and metronidazole. The patient was also treated with five sessions of hyperbaric oxygen in a pressure chamber for a duration of 2 h per session. This therapeutic regimen resulted in the preservation of a functionally intact extremity despite severe complication.
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Ketterl et al. (1989) studied this question.
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