1. Epidemiology, treatment and outcome after compartment syndrome of the thigh in 69 cases - Experiences from a level I trauma centre
- Author
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Adam Bukaty, Wolfgang Machold, Reinhard Schmidt, Philipp Rameder, Wolfgang Huf, Sandra Boesmueller, and Thomas M. Tiefenboeck
- Subjects
Adult ,Male ,medicine.medical_specialty ,Delayed Diagnosis ,Adolescent ,Thigh ,Wounds, Nonpenetrating ,Compartment Syndromes ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Trauma Centers ,Epidemiology ,medicine ,Humans ,Femur ,Adverse effect ,Child ,General Environmental Science ,Aged ,Retrospective Studies ,Aged, 80 and over ,030222 orthopedics ,Femur fracture ,business.industry ,030208 emergency & critical care medicine ,Middle Aged ,Decompression, Surgical ,Surgery ,Fasciotomy ,medicine.anatomical_structure ,Treatment Outcome ,Blunt trauma ,Concomitant ,Austria ,General Earth and Planetary Sciences ,Female ,Complication ,business - Abstract
Background Compartment syndrome of the thigh (CST) is a rare condition, and its delayed diagnosis and therapy may lead to devastating adverse effects. Thus, the aim of this study was to present the amassed clinical experiences, regarding diagnosis and treatment of CST at a level I trauma centre. Materials and methods The database was reviewed for all patients with a manifest CST treated surgically between 1995 and 2014. Results 69 patients (61 males and 8 females) met the inclusion criteria, with a mean age of 42.9 years (range: 11–87 years). Forty-four patients (64%) presented with an isolated CST. There was a significant association between complication rates and high impact vs. blunt trauma (12/32, 38% vs. 0/20, 0%; p = 0.0022; Fisher’s exact test). The number of surgeries in patients with a concomitant femur fracture was significantly increased (in mean: 2.8 vs. 4.9 surgical interventions; p Conclusion Patients after high impact trauma showed the highest complication rate. Concomitant femur fractures were associated with an increased number of surgical interventions. The synopsis of trauma mechanism, clinical presentation, age, anticoagulation status and clinical experience of the trauma surgeon seem to be the best tools to correctly diagnose CST.
- Published
- 2018