[Risk of compartment syndrome in open and closed tibial fractures]. 2002

Nadir Ozkayin, and Kemal Aktuglu
Ege Universitesi Tip Fakultesi Ortopedi ve Travmatoloji Anabilim Dali, Izmir, Turkey, ozkayin@yahoo.com

BACKGROUND In orthopaedic traumatology; acute compartment syndrome is a common complication associated with tibial fractures. In our study, we investigate differences, if any, between open and closed tibialfractures in terms oftheir risk of compartment syndrome. METHODS Fourty-two tibial fractures of 39 patients, 29 (69%) closed and 13 (31%) open, having the risk of acute compartment syndrome according to the clinical examination, were monitored following traumas during which their DP (DP= Diastolic blood pressure -Absolute compartment pressure) and absolute compartment pressures were measured via intracompartmental pressure measuring equipment. RESULTS Average absolute compartment pressure was found to be 31.25 mmHg in open and 29,32 mmHg in closed fractures (p=O,484) whereas average DP was measured to be 47,46 mmHg in open and 49,66 mmHg in closedfractures (p=O,415). According to student's test, the difference between the two groups was not significant. We found the incidence of acute compartment syndrome as 7, 7% in open fractures, 6.9% in closed and 7, 1 % in overall tibial fractures andfasciotomy was carried out in those cases. CONCLUSIONS Statistically not significant difference between the pressure levels,found in open and closed tibialfractures, showed that open type oftibialfractures holds the risk of compartment syndrome as much as the closed one.

UI MeSH Term Description Entries
D003161 Compartment Syndromes Conditions in which increased pressure within a limited space compromises the BLOOD CIRCULATION and function of tissue within that space. Some of the causes of increased pressure are TRAUMA, tight dressings, HEMORRHAGE, and exercise. Sequelae include nerve compression (NERVE COMPRESSION SYNDROMES); PARALYSIS; and ISCHEMIC CONTRACTURE. FASCIOTOMY is often used to decompress increased pressure and eliminate pain associated with compartment syndromes. Compartment Syndrome
D005596 Fractures, Closed Fractures in which the break in bone is not accompanied by an external wound. Fractures, Occult,Closed Fracture,Closed Fractures,Fracture, Closed,Fracture, Occult,Occult Fracture,Occult Fractures
D005597 Fractures, Open Fractures in which there is an external wound communicating with the break of the bone. Fractures, Compound,Compound Fracture,Compound Fractures,Fracture, Compound,Fracture, Open,Open Fracture,Open Fractures
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012306 Risk The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome. Relative Risk,Relative Risks,Risk, Relative,Risks,Risks, Relative
D013978 Tibial Fractures Fractures of the TIBIA. Segond Fracture,Tillaux Fracture,Toddler's Fracture,Fracture, Segond,Fracture, Tibial,Fracture, Tillaux,Fracture, Toddler's,Fractures, Tibial,Tibial Fracture,Toddler Fracture,Toddlers Fracture

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