Janzing H, Broos P, Rommens P
Department of Traumatology and Emergency Surgery, University Hospital Gasthuisberg, Catholic University of Leuven, Belgium.
J Trauma. 1996 Jul;41(1):156-8. doi: 10.1097/00005373-199607000-00028.
We report the history of two 3-year-old children with femoral shaft fractures, who developed severe compartment syndromes after skin traction. Both children were admitted in our department for treatment of their compartment syndromes. In both, important and permanent disability persisted. The causative role of the skin traction is proved since, in one infant, the compartment syndrome developed in the nonfractured limb. Cautious application of skin traction, conscientious observation, immediate diagnosis, and aggressive treatment of threatening compartment syndromes will prevent these tragic complications.
我们报告了两名3岁股骨干骨折儿童的病史，他们在皮肤牵引后发生了严重的骨筋膜室综合征。两名儿童均因骨筋膜室综合征入住我科治疗。两人均遗留了严重且永久性的残疾。皮肤牵引的致病作用得到证实，因为在一名婴儿中，非骨折肢体发生了骨筋膜室综合征。谨慎应用皮肤牵引、认真观察、及时诊断以及积极治疗有威胁的骨筋膜室综合征将预防这些悲惨的并发症。
