Kutty Satish, Laing Alan J, Prasad C V R, McCabe John P
Department of Trauma and Orthopaedics, Merlin Park Regional Hospital, Galway, Ireland.
Int Orthop. 2005 Jun;29(3):186-90. doi: 10.1007/s00264-005-0651-9. Epub 2005 Apr 7.
Our aim was to study the effect of traction on the compartment pressures during intramedullary nailing of closed tibial-shaft fractures. Thirty consecutive patients with Tscherne C1 fractures were randomised into two groups. Sixteen patients underwent intramedullary nailing of the tibia with traction and 14 patients without traction. Compartment pressures were measured before the application of traction or commencement of the procedure and at the end of the procedure. The data collected was analysed using Student's t test. There was no statistically significant difference (p>0.05) in the pre-operative mean compartment pressures for both groups. The mean post-operative measurements were higher in all four compartments in the traction group (p<0.05). None of the pressures reached the critical level. These results show that traction as an aid unnecessarily increases compartment pressures.
我们的目的是研究在闭合性胫骨干骨折髓内钉固定过程中牵引对骨筋膜室压力的影响。连续30例Tscherne C1型骨折患者被随机分为两组。16例患者在牵引下行胫骨髓内钉固定，14例患者未行牵引。在施加牵引或开始手术前以及手术结束时测量骨筋膜室压力。收集的数据采用学生t检验进行分析。两组术前平均骨筋膜室压力无统计学显著差异（p>0.05）。牵引组所有四个骨筋膜室的术后平均测量值均较高（p<0.05）。所有压力均未达到临界水平。这些结果表明，作为辅助手段的牵引不必要地增加了骨筋膜室压力。
