Fondaparinux is an accepted form of deep venous thrombosis prophylaxis after hip arthroplasty. Cited advantages of its use include once-daily administration, standard dosage, and superiority as compared with enoxaparin. However, there have been several case reports of serious associated bleeding complications. We describe the case of a 77-year-old woman who developed a massive leg hematoma in the operative extremity nearly 3 weeks after a primary total hip arthroplasty while on fondaparinux. The patient developed a compartment syndrome requiring decompression of the hematoma, fasciotomy, and subsequent additional plastic surgery for split thickness skin grafting.
CoxaPro
> Clinical Library > Tervetuloa Clinical Libraryyn > Compartment Syndrome Due to Massive Leg Hematoma After Primary Total Hip Arthroplasty
The Journal of Arthroplasty, Volume 27, Issue 7, 1414.e9 - 1414.e11
Hip
Compartment Syndrome Due to Massive Leg Hematoma After Primary Total Hip Arthroplasty
Hannon, Michael G. et al.Hip