Document Detail


Acute compartment syndrome of the leg: Pressure measurement and fasciotomy.
MedLine Citation:
PMID:  20934933     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Compartment syndrome involves a conflicting situation between an unyielding space, the compartment, and its increasing tissue content secondary to traumatic ischemia. Rapidly irreversible damages occur without treatment. Although the diagnosis approach to leg compartment syndrome is clinical in priority, pressure measurements should be systematically produced: first to confirm the presence of this condition and define optimal surgical strategies and second to provide the only objective available criteria in case of a debatable diagnosis. In practice, two schematic situations can be distinguished, which do not cover the many different cases: leg compartment syndrome without a fracture in which the four leg compartments are affected and which requires a fasciotomy using two surgical approaches, the lateral and the medial; leg compartment syndrome associated with a fracture: fasciotomy of the four compartments may be performed by a single lateral approach distant from the fracture site and its fixation hardware. It should be noted that this approach is easy, effective and safe.
Authors:
A-C Masquelet
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Publication Detail:
Type:  Journal Article     Date:  2010-10-08
Journal Detail:
Title:  Orthopaedics & traumatology, surgery & research : OTSR     Volume:  96     ISSN:  1877-0568     ISO Abbreviation:  Orthop Traumatol Surg Res     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-03-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101494830     Medline TA:  Orthop Traumatol Surg Res     Country:  France    
Other Details:
Languages:  eng     Pagination:  913-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Masson SAS.
Affiliation:
Orthopedics-Traumatology Dept, Avicenne Hospital, 125, route de Stalingrad, 93000 Bobigny, France.
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