title: Tibial plateau fracture with compartment syndrome: a complication of higher incidence in Taiwan.
abstract: BACKGROUND
  Compartment syndrome after tibial plateau fracture has been described, solely as case reports in previously published articles, as a relatively rare complication.
  
  
  METHODS
  A retrospective review of 106 patients with 107 tibial plateau fractures was undertaken from January 1996 to June 1997 at a level I trauma center, and the incidence of compartment syndrome was 10.3%. The diagnosis was based on characteristic clinical symptoms and signs of acute compartment syndrome and/or by measurement of intracompartment pressures. The treatment included fasciotomy of the 4 compartments.
  
  
  RESULTS
  There was a high correlation between the incidence of compartment syndrome and the fracture pattern as well as the mechanism of trauma. Higher-energy traumas (Schatzker's type IV, V, and VI) were associated with a higher incidence of compartment syndrome (30.4% in type VI).
  
  
  CONCLUSIONS
  The incidence of compartment syndrome after tibial plateau fracture is more common than what has been reported in the literature, especially after high-energy trauma.
authors.affiliation: Division of Orthopedics, Department of Trauma-Emergency Surgery, Chang Gung Memorial Hospital, Taipei.
authors.forename: Y H
authors.initials: YH
authors.lastname: Chang
authors.forename: Y K
authors.initials: YK
authors.lastname: Tu
authors.forename: W L
authors.initials: WL
authors.lastname: Yeh
authors.forename: R W
authors.initials: RW
authors.lastname: Hsu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003161:Compartment Syndromes / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013624:Taiwan / Q000453:epidemiology; D013978:Tibial Fractures / Q000150:complications*