Triffitt P D, König D, Harper W M, Barnes M R, Allen M J, Gregg P J
Leicester Royal Infirmary, England.
J Bone Joint Surg Br. 1992 Mar;74(2):195-8. doi: 10.1302/0301-620X.74B2.1544950.
We measured pressures in the anterior and deep posterior compartments continuously for up to 72 hours in 20 patients with closed fractures of the tibial shaft treated primarily in plaster casts. All were examined independently after periods of three to 14 months. Pressures above 40 mmHg occurred in seven (35%) and above 30 mmHg in 14 (70%). No patient had the symptoms of compartment syndrome during monitoring. Abnormalities at review did not correlate with the maximum consecutive time periods during which the compartment pressures were raised. Thus, in the absence of symptoms the monitored pressures did not relate to outcome. Routine monitoring in this type of patient is therefore of doubtful benefit.
我们对20例主要采用石膏固定治疗的胫骨干闭合性骨折患者，连续72小时测量其前侧和后侧深部组织间隔的压力。所有患者在3至14个月后均接受独立检查。7例（35%）患者的组织间隔压力超过40 mmHg，14例（70%）超过30 mmHg。监测期间无患者出现骨筋膜室综合征症状。复查时的异常情况与组织间隔压力升高的最长连续时间段无关。因此，在没有症状的情况下，监测到的压力与预后无关。所以，对这类患者进行常规监测的益处值得怀疑。
