Surgical management of exertional compartment syndrome of the lower leg. Long-term followup

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Deutscher übersetzter Titel:Chirurgische Behandlung des belastungsbedingten Kompartmentsyndroms des Unterschenkels. Langzeit-Ergebniskontrolle
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
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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