Stage therapy for the treatment of fractures of tibia plateau with osteofascial compartment syndrome.
10.3969/j.issn.1003-0034.2018.12.014
- Author:
Jie WEI
1
,
2
;
Zhi-Ming CHEN
3
Author Information
1. Department of Orthopaedics, Yuhang District Traditional Chinese Hospital of Hangzhou, Hangzhou 311106, Zhejiang, China
2. weijie2008hangzhou@163.com.
3. Department of Orthopaedics, Yuhang District Traditional Chinese Hospital of Hangzhou, Hangzhou 311106, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Clinical protocols;
Compartment syndromes;
Tibial fractures
- MeSH:
Adult;
Compartment Syndromes;
Female;
Fracture Fixation, Internal;
Fractures, Closed;
Fractures, Open;
Humans;
Male;
Middle Aged;
Tibia;
Tibial Fractures;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2018;31(12):1144-1147
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the operative methods and clinical effects of stage therapy for the treatment of fractures of tibia plateau with osteofascial compartment syndrome according to its clinical characteristics.
METHODS:From April 2014 to May 2017, 22 patients with fractures of tibia plateau with osteofascial compartment syndrome were treated by stage therapy, including 16 males and 6 females, ranging in age from 22 to 56 years old, with an average of 39 years old. Fifteen patients had injuries on the left and 7 patients had injuries on the right. Open fracture occurred in 2 cases, and closed fracture occurred in 20 cases. According to its characteristics, all the patients were divided into the window period (window period), the open decompression period (decompression period), the evaluation period of soft tissue (evaluation period) and the fixed recovery period of fracture terminal (recovery period). All the patients were treated with incision and decompression.
RESULTS:All fractures healed. The healing time ranged from 3 to 9 months, with an average of 6 months. According to the Merchant knee function score to evaluate the curative effects: 18 cases got an excellent result, 3 cases good and 1 case fair.
CONCLUSIONS:Stage therapy is effective to find early, diagnose early and treat early for fascia compartment syndrome, as well as to observe the soft tissue of the affected limb all the way, so as to avoid misdiagnosis, missed diagnosis, mistaken treatment and out of treatment of fascia compartment syndrome. It is a convenient, effective and worthy-of-promotion method.
