Ozkayin Nadir, Aktuglu Kemal
Ege Universitesi Tip Fakultesi Ortopedi ve Travmatoloji Anabilim Dali, Izmir, Turkey,
Ulus Travma Derg. 2002 Jul;8(3):170-5.
In orthopaedic traumatology; acute compartment syndrome is a common complication associated with tibial fractures. In our study, we investigate differences, if any, between open and closed tibialfractures in terms oftheir risk of compartment syndrome.
Fourty-two tibial fractures of 39 patients, 29 (69%) closed and 13 (31%) open, having the risk of acute compartment syndrome according to the clinical examination, were monitored following traumas during which their DP (DP= Diastolic blood pressure -Absolute compartment pressure) and absolute compartment pressures were measured via intracompartmental pressure measuring equipment.
Average absolute compartment pressure was found to be 31.25 mmHg in open and 29,32 mmHg in closed fractures (p=O,484) whereas average DP was measured to be 47,46 mmHg in open and 49,66 mmHg in closedfractures (p=O,415). According to student's test, the difference between the two groups was not significant. We found the incidence of acute compartment syndrome as 7, 7% in open fractures, 6.9% in closed and 7, 1 % in overall tibial fractures andfasciotomy was carried out in those cases.
Statistically not significant difference between the pressure levels,found in open and closed tibialfractures, showed that open type oftibialfractures holds the risk of compartment syndrome as much as the closed one.
在骨科创伤学中，急性骨筋膜室综合征是胫骨骨折常见的并发症。在本研究中，我们调查开放性和闭合性胫骨骨折在发生骨筋膜室综合征风险方面是否存在差异（若有差异）。
39例患者共42处胫骨骨折，根据临床检查有急性骨筋膜室综合征风险，其中29处（69%）为闭合性骨折，13处（31%）为开放性骨折。在受伤后进行监测，期间通过骨筋膜室内压力测量设备测量其舒张压与骨筋膜室绝对压力之差（DP = 舒张压 - 骨筋膜室绝对压力）以及骨筋膜室绝对压力。
开放性骨折的平均骨筋膜室绝对压力为31.25 mmHg，闭合性骨折为29.32 mmHg（p = 0.484）；而开放性骨折的平均DP为47.46 mmHg，闭合性骨折为49.66 mmHg（p = 0.415）。根据学生t检验，两组之间差异不显著。我们发现急性骨筋膜室综合征的发生率在开放性骨折中为7.7%，闭合性骨折中为6.9%，整体胫骨骨折中为7.1%，并对这些病例进行了筋膜切开术。
开放性和闭合性胫骨骨折的压力水平在统计学上无显著差异，表明开放性胫骨骨折发生骨筋膜室综合征的风险与闭合性骨折相当。
