Mithoefer Kai, Lhowe David W, Vrahas Mark S, Altman Daniel T, Erens Vanessa, Altman Gregory T
Harvard Vanguard Orthopedics and Sports Medicine, Brigham and Women's Hospital, Boston, MA, USA.
J Bone Joint Surg Am. 2006 Apr;88(4):729-37. doi: 10.2106/JBJS.E.00336.
Acute compartment syndrome of the thigh is an uncommon condition that is associated with a high rate of morbidity. Because of its rarity, limited information is available on the long-term functional outcome for patients with this condition and the factors that affect the clinical result.
Eighteen patients with acute compartment syndrome of the thigh were evaluated at an average of sixty-two months after treatment. Functional outcome was evaluated by means of physical examination, isokinetic thigh-muscle testing, and validated functional outcome scores.
Long-term functional deficits were present in eight patients, and only five patients had full recovery of thigh-muscle strength. The persistent dysfunction was reflected in worse overall functional outcome scores. High injury severity scores, ipsilateral femoral fracture, prolonged intervals to decompression, the presence of myonecrosis at the time of fasciotomy, and an age of more than thirty years were associated with increased long-term functional deficits, persistent thigh-muscle weakness, and worse functional outcome scores.
Acute compartment syndrome of the thigh is often associated with considerable long-term morbidity. Several factors can affect the functional outcome, and knowledge of these factors can help in the development of a more effective clinical management strategy to reduce long-term morbidity.
股部急性骨筋膜室综合征是一种不常见的疾病，其发病率较高。由于其罕见性，关于患有这种疾病的患者的长期功能预后以及影响临床结果的因素的信息有限。
对18例股部急性骨筋膜室综合征患者在治疗后平均62个月进行评估。通过体格检查、等速股部肌肉测试和有效的功能预后评分来评估功能预后。
8例患者存在长期功能缺陷，只有5例患者的股部肌肉力量完全恢复。持续的功能障碍反映在总体功能预后评分较差。高损伤严重程度评分、同侧股骨骨折、减压间隔时间延长、筋膜切开时存在肌坏死以及年龄超过30岁与长期功能缺陷增加、股部肌肉持续无力和功能预后评分较差相关。
股部急性骨筋膜室综合征常伴有相当程度的长期发病率。几个因素可影响功能预后，了解这些因素有助于制定更有效的临床管理策略以降低长期发病率。
