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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Risk factors for acute compartment syndrome of the leg associated with tibial diaphyseal fractures in adults
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Risk factors for acute compartment syndrome of the leg associated with tibial diaphyseal fractures in adults

机译：成人胫骨干phy端骨折伴急性小腿综合征的危险因素

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We sought to examine the occurrence of acute compartment syndrome (ACS) in the cohort of patients with tibial diaphyseal fractures and to detect associated risk factors that could predict this occurrence. A total of 1,125 patients with tibial diaphyseal fractures that were treated in our centre were included into this retrospective cohort study. All patients were treated with surgical fixation. Among them some were complicated by ACS of the leg. Age, gender, year and mechanism of injury, injury severity score (ISS), fracture characteristics and classifications and the type of fixation, as well as ACS characteristics in affected patients were studied. Of the cohort of patients 772 (69 %) were male (mean age 39.60 ± 15.97 years) and the rest were women (mean age 45.08 ± 19.04 years). ACS of the leg occurred in 87 (7.73 %) of all tibial diaphyseal fractures. The mean age of those patients that developed ACS (33.08 ± 12.8) was significantly lower than those who did not develop it (42.01 ± 17.3, P  0.001). No significant difference in incidence of ACS was found in open versus closed fractures, between anatomic sites and following IM nailing (P = 0.67). Increasing pain was the most common symptom in 71 % of cases with ACS. We found that younger patients are definitely at a significantly higher risk of ACS following acute tibial diaphyseal fractures. Male gender, open fracture and IM nailing were not risk factors for ACS of the leg associated with tibial diaphyseal fractures in adults. Level IV.
机译：我们试图检查在胫骨干fracture端骨折患者队列中急性房室综合征（ACS）的发生，并检测可能预测这种情况的相关危险因素。这项回顾性队列研究纳入了在我们中心接受治疗的总共1,125例胫骨干phy端骨折患者。所有患者均接受手术固定治疗。其中一些由于腿部ACS而变得复杂。研究了受影响患者的年龄，性别，损伤年份和损伤机制，损伤严重程度评分（ISS），骨折特征和分类，固定类型以及ACS特征。在该组患者中，有772名（69％）为男性（平均年龄39.60±15.97岁），其余为女性（平均年龄45.08±19.04岁）。在所有胫骨干phy端骨折中，腿部ACS发生率达87（7.73％）。患有ACS的患者的平均年龄（33.08±12.8）显着低于未患有ACS的患者（42.01±17.3，P <0.001）。在解剖部位和IM钉后之间的开放性骨折和闭合性骨折中，ACS的发生率均无显着差异（P = 0.67）。在71％的ACS病例中，疼痛加剧是最常见的症状。我们发现，年轻的患者在急性胫骨干phy端骨折后绝对有较高的ACS风险。男性，开放性骨折和IM钉不是成年人胫骨干phy端骨折伴ACS的危险因素。第四级。

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