[Functional healing of compartment syndrome of the tibia. An analysis of follow-up results].
In a retrospective review 78 compartmental syndromes, treated between 1980 and 1988, were analyzed. The mean follow-up was 42 months. 43 patients (53%) suffered an traffic accident. Direct trauma forces predominated (66 patients). The functional results after crush injuries had been worser than after contusion injuries or direct trauma forces. The functional results depended from the posttraumatic interval of decompression. The later the fasciotomy the worser the functional results had been. A wide fascial decompression is necessary. Two cases of rebound compartmental syndromes after unilateral fasciotomy reveal the skin as an important limiting factor in severe cases of compartmental syndrome.
Knopp
W
W
Chirurgische Klinik und Poliklinik, BG-Kliniken "Bergmannsheil"-Universitätsklinik, Bochum.
Schumm
F
F
Buchholz
J
J
Ekkernkamp
A
A
D000671:Amputation, Surgical; D000868:Anterior Compartment Syndrome / Q000209:etiology / Q000601:surgery*; D000071938:Fasciotomy; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000209:etiology / Q000601:surgery*; D006801:Humans; D009104:Multiple Trauma / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery*
Funktionelle Ausheilung nach Compartmentsyndrom des Unterschenkels. Eine Analyse der Spätergebnisse.