Document Detail


Continuous compartment pressure monitoring vs. clinical monitoring in tibial diaphyseal fractures.
MedLine Citation:
PMID:  18656869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A cohort of 109 consecutive patients with a tibial fracture who underwent continuous compartment pressure monitoring of the anterior compartment of the leg were reviewed and compared to a historical control group of the immediate previous 109 patients who were clinically monitored. Of these patients 33 underwent fasciotomies for acute compartment syndrome in association with tibial diaphyseal fractures. Seventeen patients had continuous compartment pressure monitoring and 16 clinical assessments alone. The fasciotomy rate of patients who underwent continuous compartment pressure monitoring was 15.6%. Patients who were not monitored had a fasciotomy rate of 14.7%. The mean time delay from injury to fasciotomy was 22 h in the monitored group and 23 h in the non-monitored group. Continuous compartment pressure monitoring did not increase the rate of unnecessary fasciotomies. We could not demonstrate a significant difference in terms of clinical outcome and time delay from injury to fasciotomy.
Authors:
O Q Al-Dadah; C Darrah; A Cooper; S T Donell; A D Patel
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Publication Detail:
Type:  Comparative Study; Controlled Clinical Trial; Journal Article     Date:  2008-07-25
Journal Detail:
Title:  Injury     Volume:  39     ISSN:  1879-0267     ISO Abbreviation:  Injury     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-03     Completed Date:  2008-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1204-9     Citation Subset:  IM    
Affiliation:
Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk NR4 7UY, England, United Kingdom. odayaldadah@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anterior Compartment Syndrome / diagnosis*,  etiology*,  surgery
Fascia / surgery
Female
Fracture Fixation, Intramedullary / methods
Humans
Leg
Male
Middle Aged
Monitoring, Physiologic / methods
Physical Examination / methods
Pressure
Tibial Fractures / complications*,  surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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