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題名 | Tibial Plateau Fracture with Compartment Syndrome: A Complication of Higher Incidence in Taiwan=脛骨平臺骨折合併腔室症狀群:非少見之併發症 |
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作者 | 張毓翰; 杜元坤; 葉文凌; 許文蔚; Chang, Yu-han; Tu, Yuan-kun; Yeh, Wen-lin; Hsu, Robert Wen-wei; |
期刊 | 長庚醫學 |
出版日期 | 20000300 |
卷期 | 23:3 2000.03[民89.03] |
頁次 | 頁149-155 |
分類號 | 416.26 |
語文 | eng |
關鍵詞 | 脛骨平臺; 關節鏡; 腔室症狀群; Tibial plateau; Arthroscopic surgery; Compartment syndrome; |
英文摘要 | Background. Compartment syndrome after tibial plateau fracture has been described, solely as case reports in previously published articles, as a relatively rare complication. Methods. A retrospective review of 106 patients with 107 tibial plateau fractures was under-taken from January 1996 to June 1997 at a level I trauma center, and the incidence of compartment syndrome was 10.3%. The diagnosis was based on characteristic clinical symptoms and signs of acute compartment syndrome and/or by measurement of intracompartment pressures. The treatment included fasciotomy of the 4 compartments. Results. There was a high correlation between the incidence of compartment syndrome and the fracture pattern as well as the mechanism of trauma. Higher-energy traumas (Schatzker,s type IV, V, and VI) were associated with a higher incidence of compartment syndrome (30.4% in type VI). Conclusion. The incidence of compartment syndrome after tibial plateau fracture is more common than what has been reported in the literature, especially after high- energy trauma. |
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