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胫骨平台骨折中的急性骨筋膜室综合征——小心!

Acute compartment syndrome in tibial plateau fractures--beware!

作者信息

Weinlein John, Schmidt Andrew

机构信息

Department of Orthopedic Surgery, Hennepin County Medical Center, Minneapolis, Minnesota 55415, USA.

出版信息

J Knee Surg. 2010 Mar;23(1):9-16. doi: 10.1055/s-0030-1262318.

Abstract

Acute compartment syndrome can complicate fractures of the tibial plateau and must be recognized early so that timely fasciotomy can be performed. The presence of the open fasciotomy wound complicates management of the underlying proximal tibial fracture, which ideally needs early anatomic reconstruction of the articular surface and stable metaphyseal fixation. The purpose of this review is to highlight the importance of this problem, understand treatment strategies, and review outcomes.

摘要

急性骨筋膜室综合征可使胫骨平台骨折复杂化,必须早期识别,以便能够及时进行筋膜切开术。开放性筋膜切开伤口的存在使胫骨近端骨折的处理变得复杂,理想情况下,该骨折需要早期进行关节面的解剖重建和稳定的干骺端固定。本综述的目的是强调这一问题的重要性,了解治疗策略并回顾治疗结果。

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