Surgical management of exertional compartment syndrome of the lower leg. Long-term followup
Deutscher übersetzter Titel: | Chirurgische Behandlung des belastungsbedingten Kompartmentsyndroms des Unterschenkels. Langzeit-Ergebniskontrolle |
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Autor: | Schepsis, Anthony A.; Martini, Douglas; Corbett, Michael |
Erschienen in: | The American journal of sports medicine |
Veröffentlicht: | 21 (1993), 6, S. 811-817, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0363-5465, 1552-3365 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199411070597 |
Quelle: | BISp |
Abstract des Autors
Forty-six limbs in 28 patients were surgically treated for exertional compartment syndrome. One group of 16 patients (26 limbs) underwent a fasciotomy for exertional anterior compartment syndrome (Group 1). A second group of 12 patients (20 limbs) underwent a fasciotomy for exertional deep posterior compartment syndrome (Group 2). Patients in Group 2 experienced symptoms for a significantly longer time than those in Group 1: 16 versus 6.8 months (P < 0.01). All three of the pressure measurements used in this study (resting pressure, 1 minute after exercise, and 5 minutes after exercise) were significantly higher in both groups than in normal controls (P < 0.01). The 1 minute after exercise values were signifiantly higher in Group 1 (mean, 36.5) than in Group 2 (mean, 29.1 (P < 0.01). In Group 1, 25 of 26 limbs (96%) had excellent results. In Group 2, 13 of 20 limbs (65%) had satisfactory results (5 excellent and 8 good) and 7 (35%) had unsatisfactory results (4 fair and 3 poor). Those patients who had an unsatisfactory outcome did so within 6 months. Patients in Group 1 had a significantly higher rate of satisfactory results than those in Group 2 (P < 0.05). Verf.-Referat