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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۷، صفحات ۵۱۵-۵۲۱
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عنوان انگلیسی Factors Associated with Development of Thigh Compartment Syndrome Following Subtrochanteric and Diaphyseal Femoral Fractures
چکیده انگلیسی مقاله Objectives: Acute compartment syndrome of the thigh (CST) is an ongoing challenge for orthopaedic surgeons as the diagnosis is often difficult to establish. Currently, there is a shortage of studies investigating risk factors for the development of thigh compartment s yndrome following subtrochanteric and diaphyseal femoral fractures. This study aimed to identify risk factors associated with the development of CST following femoral fractures.Methods: Retrospective review performed in a level one trauma center from January 2011 to December 2020 for all patients with non-pathological acute subtrochanteric or diaphyseal femoral fractures. Variables collected included demographics, injury severity score (ISS) scores, mechanism of injury, classification of femoral fracture, open versus closed injuries, development of compartment syndrome, time to compartment syndrome diagnosis, number of subsequent surgeries, and primary wound closure versus split-thickness skin graft. The statistical analysis of this study included descriptive analysis, simple logistic regression, paired T-test, and Wilcoxon Signed Rank.Results: Thirty-one (7.7%) patients developed thigh compartment syndrome following 403 subtrochanteric or diaphyseal femoral fractures. The mean (SD) age for those who developed CST was 27.35 (8.42). For every unit increase in age, the probability of developing CST decreased. Furthermore, male gender had 18.52 times greater probability of developing CST (P <0.001). AO/OTA 32-C3 and subtrochanteric femoral fracture patterns demonstrated 15.42 (P = 0.011) and 3.15 (P <0.001) greater probability of developing CST, respectively. Patients who presented to the hospital following a motor vehicle accident (MVA) or gunshot wound (GSW) had 5.90 (P= 0.006) and 14.87 (P < 0.001) greater probability of developing CST, respectively. Conclusion: Patients who were male, younger in age, and had a 32-C3 and subtrochanteric femoral fractures were at increased probability of developing CST. High energy trauma also increased the risk of developing CST. A high index of suspicion should be expressed in patients with these risk factors. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Diaphyseal femoral fracture Subtrochanteric femoral fracture, Thigh compartment Fasciotomy, Thigh compartment syndrome
نویسندگان مقاله | Christopher Rivera-Pintado
Cooper University Hospital, Camden, USA


| Manan Patel
Cooper University Hospital, Camden, USA


| Giselle Hernandez
University of Miami Health System, Miami, FL, USA


| Daniel Gloekler
Cooper University Hospital, Camden, USA


| Krystal Hunter
Cooper University Hospital, Camden, USA


| Haley Tornberg
Cooper University Hospital, Camden, USA


| Kenneth Graf
Cooper University Hospital, Camden, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_24273.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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