Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures

Bülent Dağlar; Önder Delialioğlu; Kenan Bayrakcı; Kerem Tezel; Uğur Günel; Erman Ceyhan

Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures

Year 2016, Volume: 50 Issue: 1, 37 - 41, 16.01.2016

Bülent Dağlar Önder Delialioğlu Kenan Bayrakcı Kerem Tezel Uğur Günel Erman Ceyhan

Abstract

Objective: Compartment syndrome is one of the most devastating complications in orthopedics both for the patient and the treating physician. Among the many causes, trauma and its treatment are the most common reasons for compartment syndrome, which most frequently occurs in the lower leg following tibial fractures. Since bridge plating of difficult metadiaphyseal tibial fractures is becoming increasingly popular, serious concerns have been raised about the increased intracompartmental pressures and possible compartment syndrome.
Methods: This study investigated the intracompartmental pressure changes in anterolateral compartment of the leg during and immediately after anterolateral bridge plating of tibial fractures. Intracompartmental pressures were measured before and during plate application, just after the completion of fixation, and immediately and 4–5 min after the tourniquet release in 22 isolated closed comminuted tibial fractures.
Results: Baseline anterolateral compartment pressures were higher than those on the uninjured side (9.3 vs 27.8 mmHg). Pressures were 69.5, 57.4, 65.8, and 56.8 mmHg, respectively, for the other measurements times. None of the patients received prophylactic fasciotomy, and none developed clinical compartment syndrome.
Conclusion: We found that anterolateral compartmental pressures were higher than pressures on the uninjured side in all patients. Although there is a considerable increase in intracompartmental pressures during and immediately after anterolateral percutaneous bridge plating of comminuted tibial fractures, intraoperative prophylactic fasciotomy is not routinely needed. One should monitor the patients on the first postoperative day for signs of compartment syndrome. Fasciotomy decisions should be based on both clinical symptoms and serial intracompartmental pressure measurements rather than a single measurement.

Keywords

Bridge plating; compartment syndrome; intracompartmental pressure; tibial fracture.

Year 2016, Volume: 50 Issue: 1, 37 - 41, 16.01.2016

Bülent Dağlar Önder Delialioğlu Kenan Bayrakcı Kerem Tezel Uğur Günel Erman Ceyhan

Abstract

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Details

Primary Language	English
Journal Section	Original Article
Authors	Bülent Dağlar This is me Önder Delialioğlu This is me Kenan Bayrakcı This is me Kerem Tezel This is me Uğur Günel This is me Erman Ceyhan This is me
Publication Date	January 16, 2016
Published in Issue	Year 2016 Volume: 50 Issue: 1

Cite

APA	Dağlar, B., Delialioğlu, Ö., Bayrakcı, K., Tezel, K., et al. (2016). Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures. Acta Orthopaedica Et Traumatologica Turcica, 50(1), 37-41.
AMA	Dağlar B, Delialioğlu Ö, Bayrakcı K, Tezel K, Günel U, Ceyhan E. Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures. Acta Orthopaedica et Traumatologica Turcica. January 2016;50(1):37-41.
Chicago	Dağlar, Bülent, Önder Delialioğlu, Kenan Bayrakcı, Kerem Tezel, Uğur Günel, and Erman Ceyhan. “Intracompartmental Pressure Changes After Anterolateral Bridge Plating of Tibial Fractures”. Acta Orthopaedica Et Traumatologica Turcica 50, no. 1 (January 2016): 37-41.
EndNote	Dağlar B, Delialioğlu Ö, Bayrakcı K, Tezel K, Günel U, Ceyhan E (January 1, 2016) Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures. Acta Orthopaedica et Traumatologica Turcica 50 1 37–41.
IEEE	B. Dağlar, Ö. Delialioğlu, K. Bayrakcı, K. Tezel, U. Günel, and E. Ceyhan, “Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 50, no. 1, pp. 37–41, 2016.
ISNAD	Dağlar, Bülent et al. “Intracompartmental Pressure Changes After Anterolateral Bridge Plating of Tibial Fractures”. Acta Orthopaedica et Traumatologica Turcica 50/1 (January 2016), 37-41.
JAMA	Dağlar B, Delialioğlu Ö, Bayrakcı K, Tezel K, Günel U, Ceyhan E. Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures. Acta Orthopaedica et Traumatologica Turcica. 2016;50:37–41.
MLA	Dağlar, Bülent et al. “Intracompartmental Pressure Changes After Anterolateral Bridge Plating of Tibial Fractures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 50, no. 1, 2016, pp. 37-41.
Vancouver	Dağlar B, Delialioğlu Ö, Bayrakcı K, Tezel K, Günel U, Ceyhan E. Intracompartmental pressure changes after anterolateral bridge plating of tibial fractures. Acta Orthopaedica et Traumatologica Turcica. 2016;50(1):37-41.