Diagnostic Technique and Prevention of Compartment Syndrome in Closed Interlocking Intramedullary Osteosynthesis of Tibia
Year: 2023
Type: article
Abstract: A significant part of the undesirable outcomes or complications after diaphyseal fractures of the tibia is explained either by the somatic condition of the patient or by the mechanism of the injury.However, often the reasons for these outcomes lie in the compartment syndrome.Unfortunately, this complication does not receive proper coverage in the scientific literature, exactly as well as methods of preventing it.The article proposes to deduce the principles of diagnosis and prevention of compartment syndrome based on a significant sample of patients.Diagnosis is reduced to the study of sub-fascial pressure at the slightest clinical sign of the development of compartment syndrome, while prevention consists in carrying out preventive semi-closed fasciotomies.Our studies have shown that compartment syndrome develops in 93% of cases when performing closed locking intramedullary nail of the tibia, fasciotomies from usual approaches to lock the pin were performed as a method of prevention.After performing fasciotomies, the indicators of sub-fascial pressure were re-examined and it showed significant clinical improvements than in patients without performing fasciotomies.The result of the methodology developed by the authors was an algorithm for diagnosing the compartment syndrome and an algorithm for its prevention.
Source: Acta Scientific Orthopaedics
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4385584085