Acute compartment syndrome of the thigh in combat casualties.
نویسندگان
چکیده
Acute compartment syndrome of the thigh is a rare clinical entity often caused by high-energy trauma and presenting with a spectrum of associated injuries. Service members in combat are at risk for these causative mechanisms. This study presents a large cohort of thigh compartment syndrome combat casualties and investigates the injury mechanisms, associated mortality, and complications related to fasciotomies. Blasts were the most frequent injury mechanism, overall mortality was 23%, burns were associated with a higher mortality, and fasciotomy morbidity was reported by all respondents. The mortality was similar to civilian cohorts with thigh compartment syndrome and was isolated to patients with high Injury Severity Scores. While mortality associated with this injury is high, it is likely related to associated injury patterns rather than the compartment syndrome itself. Thigh compartment fasciotomies carried significant morbidity, consistent with civilian trauma publications.
منابع مشابه
EXTREMITY INJURIES INTRODUCTION INJURY PATTERNS THE NATURE OF EXTREMITY INJURIES SEEN IN COMBAT CASUALTIES Management Surgical Treatment Immobilization COMPLICATIONS Compartment Syndrome Thrombolic and Embolic Phenomena ANESTHETIC MANAGEMENT OF COMBAT CASUALTIES Regional Anesthesia General Anesthesia INTRAOPERATIVE MONITORING SUMMARY
متن کامل
Compartment syndrome performance improvement project is associated with increased combat casualty survival.
BACKGROUND In 2008, we showed that incomplete or delayed extremity fasciotomies were associated with mortality and muscle necrosis in war casualties with limb injury. Subsequently, we developed an education program focused on surgeon knowledge gaps regarding the diagnosis of compartment syndrome and prophylactic fasciotomy. The program included educational alerts, classroom training, video inst...
متن کاملAcute compartment syndrome of the thigh 10 days following an elective primary total hip replacement.
Acute compartment syndrome (ACS) of the thigh is an uncommon condition usually treated surgically by emergency dermofasciotomy. We report a rare case of acute delayed compartment syndrome of the anterior compartment of the thigh following an uncemented Total Hip Replacement (THR). Surgical decompression was performed and patient had full recovery.
متن کاملTreatment of compartment syndrome of the thigh associated with acute renal failure after the Wenchuan earthquake.
Compartment syndrome of the thigh is a rare emergency often treated operatively. The purpose of this study was to evaluate the effects of nonoperative treatment for compartment syndrome of the thigh associated with acute renal failure after the 2008 Wenchuan earthquake. Nonoperative treatment, which primarily involves continuous renal replacement therapy, was performed in 6 patients (3 men and ...
متن کاملAcute compartment syndrome of the thigh after joint replacement with anticoagulation.
We describe three patients with a compartment syndrome of the thigh, two after total hip replacement and one after total knee replacement. Two of the patients were fully anticoagulated. A compartment syndrome of the thigh is a rare, but important complication of joint replacement surgery if patients are receiving anticoagulants. Close observation is needed and when indicated monitoring of the i...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of surgical orthopaedic advances
دوره 22 1 شماره
صفحات -
تاریخ انتشار 2013