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Titolo:
COMPARTMENT SYNDROME, AN UPDATE
Autore:
MENETREY J; PETER R;
Indirizzi:
UNIV HOSP GENEVA,DEPT CHIRURG,CLIN ORTHOPED & CHIRURG APPAREIL MOTEUR,24 RUE MICHELI DU CREST CH-1211 GENEVA 14 SWITZERLAND UNIV HOSP GENEVA,DEPT CHIRURG,CLIN ORTHOPED & CHIRURG APPAREIL MOTEURCH-1211 GENEVA 14 SWITZERLAND
Titolo Testata:
Revue de chirurgie orthopedique et reparatrice de l'appareil moteur
fascicolo: 3, volume: 84, anno: 1998,
pagine: 272 - 280
SICI:
0035-1040(1998)84:3<272:CSAU>2.0.ZU;2-F
Fonte:
ISI
Lingua:
FRE
Soggetto:
4-COMPARTMENT FASCIOTOMY; LOWER-EXTREMITY; PRESSURES; LEG; DIAGNOSIS; CATHETER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
58
Recensione:
Indirizzi per estratti:
Citazione:
J. Menetrey e R. Peter, "COMPARTMENT SYNDROME, AN UPDATE", Revue de chirurgie orthopedique et reparatrice de l'appareil moteur, 84(3), 1998, pp. 272-280

Abstract

Purpose of the study Compartment syndrome represents a clinical entity, whose diagnosis depends both on clinical findings as well as on measurement of the intracompartmental pressure. Physiopathology and clinical aspects of diagnosis and treatment of the acute compartment syndrome are discussed, based on the literature review and personnal clinical experience. Material and methods We have based our experience on a series of 100 consecutive fractures of the leg, in which we studied mechanism of trauma, fractures localization, timing of surgery for fasciotomy and wound closure. Results The incidence of compartment syndrome was 8 per cent. Younger age (< 30 years), high energy trauma, or trauma occuring during physical activity appeared to increase the risk of occurrence. Localization of the fracture on the proximal, mid or distalthirds of the leg did not. Discussion The following aspects are discussed: 1) The perfusion pressure of a compartment is defined as the difference between the diastolic blood pressure and the intracompartmental pressure. 2) Fasciotomy is indicated whenever this value is inferiorto 30 mmHg. 3) Failure to measure the pressure within 5 cm from the fracture site may cause underestimation of the compartment pressure. 4)Intramedullary nailing does not seem to increase the risk of compartment syndrome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/07/20 alle ore 08:59:30