Shakespeare D T, Henderson N J
J Bone Joint Surg Br. 1982;64(4):498-9. doi: 10.1302/0301-620X.64B4.7096431.
The effect of calcaneal traction on the compartmental pressure in the legs of five individuals with tibial fractures was studied. Mean resting pressures without traction were found to be 31.9 mmHg for the deep posterior compartment and 27.0 mmHg for the anterior compartment. For each kilogram weight of traction applied the deep posterior pressure rose by 5.7 per cent of the resting value and the anterior pressure by 1.6 per cent. It is suggested that the weight of traction should be only sufficient to render the patient comfortable and maintain alignment of the limb. Excessive traction is likely to increase the risk of compartmental ischaemia. The application of six kilograms of traction would raise the mean resting pressure by 34 per cent from 31.9 to 42.7 mmHg.
研究了跟骨牵引对五名胫骨骨折患者腿部筋膜室压力的影响。发现无牵引时，深后室的平均静息压力为31.9 mmHg，前室为27.0 mmHg。每施加一千克牵引重量，深后室压力升高静息值的5.7%，前室压力升高1.6%。建议牵引重量仅需足以使患者舒适并保持肢体对线即可。过度牵引可能会增加筋膜室缺血的风险。施加六千克牵引会使平均静息压力从31.9 mmHg升高34%至42.7 mmHg。
