J Korean Fract Soc.  2010 Oct;23(4):399-403. 10.12671/jkfs.2010.23.4.399.

Acute Compartment Syndrome after Trauma

• Oh CW
• Lee HJ

• KMID: 1461499
• DOI: http://doi.org/10.12671/jkfs.2010.23.4.399

Abstract

No abstract available.

MeSH Terms

Compartment Syndromes

Figure

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  Fig. 1 The patient shows the necrosis of muscles in lateral compartment after compartment syndrome.

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  Fig. 2 Double incision technique to decompress the compartment syndrome.

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  Fig. 3 The patient with a proximal tibia fracture (A) showed a severe swelling around the knee (B). Fasciotomy was performed with the temporary external fixation (C, D). The persisted swelling was handled by using vacuum-assisted wound closure. At 10 days after injury, the wound was closed successfully (E). At 14 days, the fracture was stabilized with MIPO technique (F, G). The fracture was united and the patient recovered the pre-injury function, at 1 year (H, I).

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  Fig. 4 Suggested diagram for the diagnosis and treatment for the compartment syndrome.

Reference

1. Gulli B, Templeman D. Compartment syndrome of the lower extremity. Orthop Clin North Am. 1994. 25:677–684.

2. Maheshwari R, Taitsman LA, Barei DP. Single-incision fasciotomy for compartmental syndrome of the leg in patients with diaphyseal tibial fractures. J Orthop Trauma. 2008. 22:723–730.

3. McQueen MM, Christie J, Court-Brown CM. Acute compartment syndrome in tibial diaphyseal fractures. J Bone Joint Surg Br. 1996. 78:95–98.

4. Mubarak SJ, Owen CA. Double-incision fasciotomy of the leg for decompression in compartment syndromes. J Bone Joint Surg Am. 1977. 59:184–187.

5. Nassif JM, Gorczyca JT, Cole JK, Pugh KJ, Pienkowski D. Effect of acute reamed versus unreamed intramedullary nailing on compartment pressure when treating closed tibial shaft fractures: a randomized prospective study. J Orthop Trauma. 2000. 14:554–558.

6. Rorabeck CH, Castle GS, Hardie R, Logan J. Compartmental pressure measurements: an experimental investigation using the slit catheter. J Trauma. 1981. 21:446–449.

7. Rorabeck CH, Macnab L. Anterior tibial-compartment syndrome complicating fractures of the shaft of the tibia. J Bone Joint Surg Am. 1976. 58:549–550.

8. Stark E, Stucken C, Trainer G, Tornetta P 3rd. Compartment syndrome in Schatzker type VI plateau fractures and medial condylar fracture-dislocations treated with temporary external fixation. J Orthop Trauma. 2009. 23:502–506.

9. Tornetta P 3rd, French BG. Compartment pressures during nonreamed tibial nailing without traction. J Orthop Trauma. 1997. 11:24–27.

10. Volkmann R. Die ischaemischem Muskellamungen und Kontrakturen. Zentralbl Chir. 1881. 8:801.

11. Whitesides TE, Haney TC, Morimoto K, Harada H. Tissue pressure measurements as a determinant for the need of fasciotomy. Clin Orthop Relat Res. 1975. 113:43–51.