Skjeldal S, Hvaal K, Strømsøe K, Nordsletten L
Ortopedisk avdeling Kirurgisk klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1995 Jun 20;115(16):1932-3.
Acute compartment syndrome is a serious complication to tibial fractures. The reported incidence is 1-10%. The present series includes 60 patients treated with intramedullary nailing of fractures in the tibial diaphysis. Tissue pressure was measured in 31 patients. Decompressive fasciotomy was performed if the pressure exceeded 30 mm Hg for more than 30 minutes. Follow-up showed no patients with clinical sequelae from a compartment syndrome, but the incidence of fasciotomy was as high as 18%.
急性骨筋膜室综合征是胫骨干骨折的一种严重并发症。报道的发病率为1%-10%。本系列研究纳入了60例接受胫骨干骨折髓内钉固定治疗的患者。对其中31例患者测量了组织压力。如果压力超过30 mmHg持续超过30分钟，则进行减压筋膜切开术。随访显示，没有患者出现骨筋膜室综合征的临床后遗症，但筋膜切开术的发生率高达18%。
