Department of Orthopaedic Surgery, Stanford University, Stanford, California.
JBJS Case Connect. 2020 Nov 20;10(4):e20.00440. doi: 10.2106/JBJS.CC.20.00440.
Compartment syndrome can occur after tibial fracture and requires prompt diagnosis and immediate fasciotomy. Because of post-traumatic swelling, delayed primary wound closure can be difficult requiring significant tension on the skin. Closing the skin in this setting theoretically puts the patient at risk of elevated compartment pressures, although compartment syndrome has never been reported in these circumstances. We describe a case of compartment syndrome that developed after delayed primary skin closure of a single incision 4-compartment fasciotomy wound after tibial fracture.
This is the first published description of compartment syndrome after delayed primary closure of a leg fasciotomy wound.
胫骨骨折后可发生筋膜间室综合征，需要及时诊断和立即行筋膜切开术。由于创伤后肿胀，原发性伤口延迟闭合可能很困难，皮肤张力较大。在这种情况下，闭合皮肤理论上会使患者面临升高的筋膜间室压力的风险，尽管在这种情况下从未报道过筋膜间室综合征。我们描述了一例胫骨骨折后采用单一切口四间隙筋膜切开术后延迟一期缝合皮肤的患者发生筋膜间室综合征的病例。
这是首例报道的腿部筋膜切开术后延迟一期缝合伤口后发生筋膜间室综合征的病例。
