Ho · International journal of surgery case reports 2018 · case report and narrative review · n=1

High-voltage electrical injury complicated by compartment syndrome and acute kidney injury with successful limb salvage: A case report and review of the literature.

Level 4 - case-series / case-control

Single case report with narrative literature review

PubMed 29787959 · doi:10.1016/j.ijscr.2018.04.039 · record verified 2026-08-26

What was done

This paper describes a single case report and narrative literature review of a young man who sustained a severe occupational high-voltage electrical injury complicated by compartment syndrome, rhabdomyolysis, and acute kidney injury, requiring critical care, surgical fasciotomies, debridement, soft tissue reconstruction, and rehabilitation.

What was found

The abstract reports no numerical values or quantitative clinical metrics. Limb salvage was achieved through surgical decompression, repeated debridement, flap reconstruction, and multidisciplinary critical care management.

Why it matters

It illustrates the complex multi-system complications of high-voltage electrical injuries and reinforces the importance of timely surgical decompression and staged soft tissue reconstruction for limb preservation.

Limits

As a single-patient case report (n = 1) combined with a narrative review, it lacks a control group, quantitative comparative data, and generalizable treatment protocols.