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Tibial shaft fractures - to monitor or not? A multi-centre 2 year comparative study assessing the diagnosis of compartment syndrome in patients with tibial diaphyseal fractures

Injury Jun 25, 2021

Powell-Bowns MFR, Littlechild JE, Yapp LZ, et al. - Researchers herein compared patients who did and did not undergo continuous compartment pressure monitoring (CCPM) following a tibial diaphyseal fracture with respect to their outcomes. In this retrospective cohort study, 287 patients with acute tibial diaphyseal fractures were assessed. Of these patients, 171 patients underwent CCPM (monitored group; MG) and 116 did not (non-monitored group; NMG). As per outcomes, patients that underwent CCPM, vs those that did not, following a fracture of the tibial diaphysis show no difference with respect to the short-term complication rates. Outcomes suggest CCPM to be safe with no rise in the rate of fasciotomies performed. A trend towards reduced time to fasciotomy and a reduced rate of split skin grafting was recorded for wound closure with CCPM.

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