| Continuous compartment pressure monitoring vs. clinical monitoring in tibial diaphyseal fractures. | |
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MedLine Citation:
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PMID: 18656869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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O Q Al-Dadah; C Darrah; A Cooper; S T Donell; A D Patel |
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Publication Detail:
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Type: Comparative Study; Controlled Clinical Trial; Journal Article Date: 2008-07-25 |
Journal Detail:
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Title: Injury Volume: 39 ISSN: 1879-0267 ISO Abbreviation: Injury Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-09-03 Completed Date: 2008-11-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0226040 Medline TA: Injury Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1204-9 Citation Subset: IM |
Affiliation:
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Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk NR4 7UY, England, United Kingdom. odayaldadah@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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