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HOME > J Musculoskelet Trauma > Volume 23(4); 2010 > Article
Review Article from Symposium
Acute Compartment Syndrome after Trauma
Chang-Wug Oh, M.D., Hyun-Joo Lee, M.D.
Journal of the Korean Fracture Society 2010;23(4):399-403.
DOI: https://doi.org/10.12671/jkfs.2010.23.4.399
Published online: October 31, 2010
Address reprint requests to: Chang-Wug Oh, M.D. Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, 101, Dongin-dong 2-ga, Jung-gu, Daegu 700-422, Korea. Tel: 82-53-420-5630, Fax: 82-53-422-6605, cwoh@knu.ac.kr

Copyright © 2010 The Korean Fracture Society

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  • 1. Gulli B, Templeman D. Compartment syndrome of the lower extremity. Orthop Clin North Am, 1994;25:677-684.Article
  • 2. Maheshwari R, Taitsman LA, Barei DP. Single-incision fasciotomy for compartmental syndrome of the leg in patients with diaphyseal tibial fractures. J Orthop Trauma, 2008;22:723-730.Article
  • 3. McQueen MM, Christie J, Court-Brown CM. Acute compartment syndrome in tibial diaphyseal fractures. J Bone Joint Surg Br, 1996;78:95-98.
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  • 5. Nassif JM, Gorczyca JT, Cole JK, Pugh KJ, Pienkowski D. Effect of acute reamed versus unreamed intramedullary nailing on compartment pressure when treating closed tibial shaft fractures: a randomized prospective study. J Orthop Trauma, 2000;14:554-558.
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  • 8. Stark E, Stucken C, Trainer G, Tornetta P 3rd. Compartment syndrome in Schatzker type VI plateau fractures and medial condylar fracture-dislocations treated with temporary external fixation. J Orthop Trauma, 2009;23:502-506.
  • 9. Tornetta P 3rd, French BG. Compartment pressures during nonreamed tibial nailing without traction. J Orthop Trauma, 1997;11:24-27.
  • 10. Volkmann R. Die ischaemischem Muskellamungen und Kontrakturen. Zentralbl Chir, 1881;8:801.
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Fig. 1
The patient shows the necrosis of muscles in lateral compartment after compartment syndrome.
jkfs-23-399-g001.jpg
Fig. 2
Double incision technique to decompress the compartment syndrome.
jkfs-23-399-g002.jpg
Fig. 3
The patient with a proximal tibia fracture (A) showed a severe swelling around the knee (B).
Fasciotomy was performed with the temporary external fixation (C, D).
The persisted swelling was handled by using vacuum-assisted wound closure. At 10 days after injury, the wound was closed successfully (E).
At 14 days, the fracture was stabilized with MIPO technique (F, G).
The fracture was united and the patient recovered the pre-injury function, at 1 year (H, I).
jkfs-23-399-g003.jpg
Fig. 4
Suggested diagram for the diagnosis and treatment for the compartment syndrome.
jkfs-23-399-g004.jpg
Table 1
Risk factors of compartment syndrome
jkfs-23-399-i001.jpg

Figure & Data

REFERENCES

    Citations

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      Acute Compartment Syndrome after Trauma
      J Korean Fract Soc. 2010;23(4):399-403.   Published online October 31, 2010
      DOI: https://doi.org/10.12671/jkfs.2010.23.4.399
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    Acute Compartment Syndrome after Trauma
    Image Image Image Image
    Fig. 1 The patient shows the necrosis of muscles in lateral compartment after compartment syndrome.
    Fig. 2 Double incision technique to decompress the compartment syndrome.
    Fig. 3 The patient with a proximal tibia fracture (A) showed a severe swelling around the knee (B). Fasciotomy was performed with the temporary external fixation (C, D). The persisted swelling was handled by using vacuum-assisted wound closure. At 10 days after injury, the wound was closed successfully (E). At 14 days, the fracture was stabilized with MIPO technique (F, G). The fracture was united and the patient recovered the pre-injury function, at 1 year (H, I).
    Fig. 4 Suggested diagram for the diagnosis and treatment for the compartment syndrome.

    Fig. 1

    Fig. 2

    Fig. 3

    Fig. 4

    Acute Compartment Syndrome after Trauma

    Risk factors of compartment syndrome
    Table 1 Risk factors of compartment syndrome

    Table 1

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