Compartment syndrome in open tibial fractures

S. S. Blick, R. J. Brumback, A. Poka, A. R. Burgess, N. A. Ebraheim

Research output: Contribution to journalArticle

Abstract

A retrospective review of the cases of 180 patients who had 198 acute open fractures of the tibial shaft and were admitted to a multiple-trauma referral center over a three-year period revealed an incidence of accompanying compartment syndrome of 9.1 per cent (eighteen fractures in sixteen patients). Each of the eighteen compartment syndromes was documented by measurements of intracompartmental pressure that were obtained by the saline-injection technique, and all were treated by four-compartment fasciotomy. The incidence of compartment syndrome was found to be directly proportional to the degree of injury to soft tissue and bone; this complication occurred most often in association with a comminuted, grade-III open injury to a pedestrian. The physician must maintain a high index of suspicion to detect a compartment syndrome in the patient who has multiple trauma, as its clinical signs and symptoms may be masked by a closed injury of the head or the need for ventilatory support or prolonged anesthesia for other surgical procedures.

Original languageEnglish (US)
Pages (from-to)1348-1353
Number of pages6
JournalThe Journal of bone and joint surgery. American volume
Volume68
Issue number9
StatePublished - 1986
Externally publishedYes

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Compartment Syndromes
Tibial Fractures
Open Fractures
Multiple Trauma
Closed Head Injuries
Soft Tissue Injuries
Trauma Centers
Incidence
Signs and Symptoms
Referral and Consultation
Anesthesia
Physicians
Pressure
Bone and Bones
Injections
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Blick, S. S., Brumback, R. J., Poka, A., Burgess, A. R., & Ebraheim, N. A. (1986). Compartment syndrome in open tibial fractures. The Journal of bone and joint surgery. American volume, 68(9), 1348-1353.

Compartment syndrome in open tibial fractures. / Blick, S. S.; Brumback, R. J.; Poka, A.; Burgess, A. R.; Ebraheim, N. A.

In: The Journal of bone and joint surgery. American volume, Vol. 68, No. 9, 1986, p. 1348-1353.

Research output: Contribution to journalArticle

Blick, SS, Brumback, RJ, Poka, A, Burgess, AR & Ebraheim, NA 1986, 'Compartment syndrome in open tibial fractures', The Journal of bone and joint surgery. American volume, vol. 68, no. 9, pp. 1348-1353.
Blick SS, Brumback RJ, Poka A, Burgess AR, Ebraheim NA. Compartment syndrome in open tibial fractures. The Journal of bone and joint surgery. American volume. 1986;68(9):1348-1353.
Blick, S. S. ; Brumback, R. J. ; Poka, A. ; Burgess, A. R. ; Ebraheim, N. A. / Compartment syndrome in open tibial fractures. In: The Journal of bone and joint surgery. American volume. 1986 ; Vol. 68, No. 9. pp. 1348-1353.
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