Acute Compartment Syndrome of the Thigh in Combat Casualties

2013 ◽  
Vol 22 (01) ◽  
pp. 42-49 ◽  
Author(s):  
Brendan D. Masini ◽  
Adam W. Racusin ◽  
Joseph C. Wenke ◽  
Tad L. Gerlinger ◽  
Joseph R. Hsu
Keyword(s):  
Compartment Syndrome ◽  
Acute Compartment Syndrome ◽  
Combat Casualties

scholarly journals Does the shoe-lace technique aid direct closure of fasciotomy wounds after acute compartment syndrome of the lower leg? a retrospective case-control study

2021 ◽  
pp. 145749692110196
Author(s):  
P. Suomalainen ◽  
T.-K. Pakarinen ◽  
I. Pajamäki ◽  
M. K. Laitinen ◽  
H.-J. Laine ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Lower Leg ◽  
Conventional Technique ◽  
Tibia Fracture ◽  
Acute Compartment Syndrome ◽  
Retrospective Case ◽  
Direct Closure ◽  
Patient Database

Background & aim: Tibia fractures are relatively common injuries that are accompanied with acute compartment syndrome in approximately 2% to 20% of cases. Although the shoe-lace technique, where vessel loops are threaded in a crisscross fashion and tightened daily, has been widely used, no studies have compared the shoe-lace technique with the conventional one. The aim of this study was to compare the shoe-lace technique with the conventional technique. Materials and Methods: We identified 359 consecutive patients with intramedullary nailed tibia fracture and complete medical records including outpatient data between April 2007 and April 2015 from electronic patient database of our institute. The use of the shoe-lace technique was compared to conventional one (in which wounds were first left open with moist dressings). Main outcome measurement is direct closure of fasciotomy wounds. Results: From 359 consecutive patients with intramedullary nailed tibia fracture, fasciotomy was performed on 68 (19%) patients. Of these, the shoe-lace technique was used in 47 (69%) patients while in 21 (31%) patients, the shoe-lace technique was not applied. Side-to-side approximation was successful in 36 patients (77%) in the shoe-lace+ group and 7 patients (33%) in the shoe-lace– group (p = 0.002). Conclusion: The main finding of our comparative study was that the shoe-lace technique seems to ease direct closure of lower leg fasciotomy wounds, and thus reduces the frequency of free skin grafts. Our finding needs to be confirmed in a high-quality randomized controlled trial.

Acute Compartment Syndrome After Knee Synovectomy in a Patient with Hemophilia A

2019 ◽  
Vol 9 (3) ◽  
pp. e0402-e0402
Author(s):  
Soroush Baghdadi ◽  
Taghi Baghdadi ◽  
Mohammad Ayati Firoozabadi ◽  
Gholamreza Toogeh ◽  
S.M. Javad Mortazavi
Keyword(s):  
Compartment Syndrome ◽  
Hemophilia A ◽  
Acute Compartment Syndrome

Mannitol Treatment for Acute Compartment Syndrome

Nephron ◽  
1998 ◽  
Vol 79 (4) ◽  
pp. 492-493 ◽  
Author(s):  
Maya Daniels ◽  
James Reichman ◽  
Mayer Brezis
Keyword(s):  
Compartment Syndrome ◽  
Acute Compartment Syndrome

scholarly journals Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
David Walmsley ◽  
Terry Axelrod ◽  
Sebastian Rodriguez-Elizalde
Keyword(s):  
Risk Factor ◽  
Compartment Syndrome ◽  
Femoral Fracture ◽  
Femur Fracture ◽  
Femoral Vein ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
Therapeutic Anticoagulation ◽  
Vein Injury ◽  
Grade Iii

Acute compartment syndrome is a surgical emergency and its diagnosis is more difficult in obtunded or insensate patients. We present the case of a 34-year-old woman who sustained a Gustilo-Anderson grade III open midshaft femur fracture with an isolated femoral vein injury treated with direct repair. She developed lower leg compartment syndrome at 48 hours postoperatively, necessitating fasciotomies. She was subsequently found to have a DVT in her femoral vein at the level of the repair and was started on therapeutic anticoagulation. This case highlights the importance of recognition of isolated venous injuries in a trauma setting as a risk factor for developing compartment syndrome.

Acute Compartment Syndrome of the Lower Extremity: Update on Proper Evaluation and Management

2016 ◽  
Vol 01 (02) ◽  
Author(s):  
Galyfos G ◽  
Gkovas C ◽  
Kerasidis S ◽  
Stamatatos I ◽  
Stefanidis I ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Compartment Syndrome ◽  
Acute Compartment Syndrome
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