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Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique.
| Content Provider | Europe PMC |
|---|---|
| Author | Ramprasath, DR Thirunarayanan, V David, J Anbazhagan, S |
| Copyright Year | 2016 |
| Abstract | Acute Compartment Syndrome is a limb-threatening emergency and it occurs most commonly after fractures. The aim of our study is to find out the effectiveness of serial measurement of differential pressure in closed tibial diaphyseal fractures, in diagnosing acute compartment syndrome, using Whiteside’s technique. A total of 52 cases in the age group of 15 to 55 years admitted with closed fractures were studied for serial compartment pressure as well as serial differential pressure. Eight patients had persistent compartment pressure > 40mmHg, out of which only two patients had persistent differential pressure < 30mmHg and these two patients underwent fasciotomy. Thus, by measuring the compartment pressure serially and calculating differential pressure serially, acute compartment syndrome can be diagnosed or ruled out with higher precision, so that unnecessary fasciotomies can be avoided. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5333695&blobtype=pdf |
| ISSN | 19852533 |
| Journal | Malaysian Orthopaedic Journal [Malays Orthop J] |
| Volume Number | 10 |
| PubMed Central reference number | PMC5333695 |
| Issue Number | 1 |
| PubMed reference number | 28435539 |
| e-ISSN | 2232111X |
| DOI | 10.5704/moj.1603.001 |
| Language | English |
| Publisher | Malaysian Orthopaedic Association |
| Publisher Date | 2016-03-01 |
| Publisher Place | Kuala Lumpur |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. © 2016 Malaysian Orthopaedic Association (MOA). All Rights Reserved |
| Subject Keyword | Acute compartment syndrome Whiteside’s technique differential pressure fasciotomy tibial fractures |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Emergency Medicine Surgery |