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Khirurgii

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Year 2010 Vol. 18 No 4

LECTURES, REVIEWS

O.P. KEZLYA, L.V. GIVOYNO

ACUTE COMPARTMENT SYNDROME AS A COMPLICATION OF FRACTURES OF SHIN BONES

An acute compartment syndrome is rather a widespread complication of the fractures of the shin bones though its symptoms are frequently unnoticed resulting in unsatisfactory functional results of treatment. In the article the problems concerning etiology, pathogenesis of acute compartment syndrome at the fractures of the shin bones are studied. Principles of this condition diagnostics are viewed as well as the management tactics of acute compartment syndrome: indications for fasciotomy, conservative methods of treatment. The most reliable diagnostic method of acute compartment syndrome is the change of the interstitial pressure. But the level of the interstitial pressure at which one has to carry out fasciotomy up to present moment remains discussible. It’s more preferable to perform full fasciotomy with the disclosure of all fascia casings.

Keywords: fractures of shin bones, compartment syndrome, fasciotomy
p. 146-156 of the original issue
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