Echtermeyer V
Unfallchirurgische Klinik am Klinikum Minden.
Orthopade. 1991 Mar;20(1):76-9.
Severe compression trauma of the foot predisposes to development of compartment syndrome. Special problems in complex lesions of the foot arise because of the thin layer of soft tissue coverage and the diminished blood supply to the bones of the foot, resulting in difficulties in estimate correctly the severity of the injury. Subfascial pressure monitoring is the most valuable diagnostic tool for establishing the diagnosis. The technique of decompression and fracture stabilization by K-wire osteosynthesis is described and emphasis is placed on tibial-metatarsal transfixation. Follow-up after open-wound treatment consists of a planned "second look" operation with delayed wound closure.
足部严重挤压伤易引发骨筋膜室综合征。由于足部软组织覆盖层薄且足部骨骼血供减少，足部复杂损伤会出现特殊问题，导致难以正确评估损伤的严重程度。筋膜下压力监测是确立诊断最有价值的诊断工具。描述了用克氏针骨固定术进行减压和骨折固定的技术，并重点强调胫-跖骨贯穿固定。开放性伤口治疗后的随访包括计划好的延迟伤口闭合的“二次探查”手术。
