Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique
- Author:
Ramprasath DR
;
Thirunarayanan V
;
David J
;
Anbazhagan S
- Publication Type:Journal Article
- Keywords:
Acute compartment syndrome;
Whiteside's technique;
differential pressure;
fasciotomy;
tibial fractures
- MeSH:
Tibial Fractures
- From:Malaysian Orthopaedic Journal
2016;10(1):1-4
- CountryMalaysia
- Language:English
-
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.
- Full text:P020160712464279535043.pdf
