Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique
Journal Title: Malaysian Orthopaedic Journal - Year 2016, Vol 10, Issue 1
Abstract
Acute Compartment Syndrome is a limb-threatening emergency and it occurs most commonly after fractures. The aim of our study is to find out the effectiveness of serial measurement of differential pressure in closed tibial diaphyseal fractures, in diagnosing acute compartment syndrome, using Whiteside’s technique. A total of 52 cases in the age group of 15 to 55 years admitted with closed fractures were studied for serial compartment pressure as well as serial differential pressure. Eight patients had persistent compartment pressure > 40mmHg, out of which only two patients had persistent differential pressure < 30mmHg and these two patients underwent fasciotomy. Thus, by measuring the compartment pressure serially and calculating differential pressure serially, acute compartment syndrome can be diagnosed or ruled out with higher precision, so that unnecessary fasciotomies can be avoided.
Authors and Affiliations
Ramprasath DR, Thirunarayanan V, David J, Anbazhagan S
Keywords
Related Articles
- EP ID EP308405
- DOI 10.5704/MOJ.1603.001
- Views 140
- Downloads 0
Bilateral Traumatic Hip Dislocation in a Child: A Case Report
Traumatic hip dislocation in children is uncommon; when this condition is diagnosed in paediatric patients, it is most frequently seen as a unilateral posterior dislocation and is rarely associated with fracture. We repo...
A Modified Technique of Fixation for Proximal Femoral Valgus Osteotomy in Abnormal Bone: A Report of Two Cases
The ideal size of intramedullary device to fix corrective osteotomy of proximal femur in abnormal bone in children and small patients may not be easily available. We report the successful use of Rush rod in combination w...
Mercer’s Textbook of Orthopaedics and Trauma Tenth Edition
This appealing book has 138 chapters which are divided into 12 parts. These are Introduction; Musculoskeletal structure, function and healing; Basic Science; Trauma; Paediatric orthopaedic surgery; Sports Medicine; Muscu...
Dynamic Hip Screw Fixation of Intertrochanteric Fractures of Femur: A Comparison of Outcome With and Without Using Traction Table
Intertrochanteric fracture of the femur is one of the common fractures in the elderly. Dynamic Hip Screw (DHS) fixation is the gold standard for treatment of intertrochanteric femoral fracture. Conventional methods of ac...
Perforators in the Leg: Why It Is Important for Orthopaedic Surgeons to Know
Blood supply to the skin originates from the main artery artery of the leg. They give out branches that pass through the muscle or septum before perforating the deep fascia to supply an area of skin. This small territory...