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Gluteal compartment syndrome with severe rhabdomyolysis
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  • Published on:
    Re:Response to Gluteal compartment syndrome with severe rhabdomyolysis

    Dear Mr. Latimer Thanks you for your response to my case report. Fasciotomy and debridement in the presence of crush syndrome is a controversial topic. As far as evidence is concerned there are proponents and opponents of fasciotomy in the presence of rhabdomyolysis. Although there is a theoretical risk of worsening the renal function and electrolyte imbalance, leaving the compartment closed in the presence of clinical...

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    Conflict of Interest:
    None declared.
  • Published on:
    Response to Gluteal compartment syndrome with severe rhabdomyolysis
    • Mark D Latimer, Consultant Trauma & Orthopaedic Surgeon
    • Other Contributors:
      • Nnamdi J Obi

    Dear Editor,

    We read with great interest the case report entitled "Gluteal compartment syndrome with severe rhabdomyolysis" by Naryan et al. (1) This is an outstanding case report and is a useful reminder to all trauma surgeons of the urgent necessity for aggressive re-hydration and alkaline diuresis in patients presenting with severe muscle crush injuries.

    We have little doubt that the team at The Roy...

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    Conflict of Interest:
    None declared.