Complications of Fracture: Acute Compartment Syndrome
10.12671/jkfs.2023.36.3.103
- Author:
Sung Yoon JUNG
1
;
Min Bom KIM
Author Information
1. Department of Orthopedic Surgery, Dong-A University Hospital, Busan, Korea
- Publication Type:REVIEW ARTICLE
- From:Journal of the Korean Fracture Society
2023;36(3):103-109
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute compartment syndrome occurs when the pressure in the closed bone-myofascial muscle compartment rises above a critical level, and venous perfusion through the capillaries is blocked, resulting in microcirculation disorders. Tissue ischemia in the compartment causes irreversible damage to the muscles, nerves, and even bones, and can cause functional disorders, muscle contractures, nerve damage, and nonunion. In addition to trauma, phlebitis after injection, pseudoaneurysm due to blood vessel damage, anticoagulants (e.g., warfarin), and exercise are all known causes of acute compartment syndrome. On the other hand, it commonly occurs after a fracture, leading to serious complications if not treated appropriately. Therefore, when a fracture occurs, care must be taken to determine if acute compartment syndrome has occurred, and capillary circulation must be quickly restored through early diagnosis and decompression.
