Acute Compartment Syndrome

Schmidt, Andrew H.

doi:10.1002/9781444345100.ch71

Cited by 3 publications

(3 citation statements)

References 48 publications

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“…At our hospital, all acute compartment syndrome diagnoses were made based on clinical ndings. Although acute compartment syndrome is more common in males [20,21], several studies have reported no sex-related difference in the rate of acute compartment syndrome due to crush injuries after an earthquake [22,23]. Similarly, we did not nd a relationship between sex and earthquake-related acute compartment syndrome.…”

Section: Discussioncontrasting

confidence: 74%

“…Although fractures are known as the most common cause of acute compartment syndrome or the most common accompanying pathology [17,21], only three (6.9%) of 43 extremities diagnosed with acute compartment syndrome had accompanying fractures in our study. Hope and McQueen [31] showed that patients with acute compartment syndrome without fractures had signi cantly more muscle necrosis.…”

Section: Discussioncontrasting

confidence: 61%

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Clinical Features and Outcomes of Orthopaedic Injuries After the Kahramanmaraş Earthquake: a Retrospective Study From a Hospital Located in the Affected Region

Gök,

Melik

2023

Preprint

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Background The purpose of this retrospective, single-institutional study was to report the clinical features and outcomes of orthopaedic injuries after the Kahramanmaraş earthquake. Methods An institutional database review was conducted to determine individual causalities among patients admitted to the emergency department of our hospital after the Kahramanmaraş earthquake. Trauma patients referred to orthopaedics and traumatology were identified. Patient records were checked for injury type, fracture site, treatment type (conservative or surgical), surgical technique, and outcome. Diagnosis with crush syndrome and the need for haemodialysis were also noted. Bedside fasciotomy was undertaken based on the urgency of the patient’s condition as well as the availability of the operating theatre. A team consisting of a trauma surgeon, a plastic surgeon, a board-certified physician in infectious disease, a reanimation specialist, a general surgeon and a nephrologist followed up with the patients. Results Within the first 7 days following the earthquake, 265 patients were admitted to the emergency department, and 112 (42.2%) of them were referred to orthopaedics and traumatology. There were 32 (28.5%) patients diagnosed with acute compartment syndrome. Fasciotomy was performed on 43 extremities of 32 patients. Of these extremities, 5 (11.6%) were upper and 38 (88.4%) were lower extremities, and the risk of acute compartment syndrome was significantly higher for lower extremities (5/43 vs. 38/43, respectively; p = 0.001). A significant relationship was found between the absence of diaphyseal fracture in the extremity and the development of acute compartment syndrome (p = 0.0001). The surgeries of 16 (50%) of the patients who underwent fasciotomy were performed in the emergency department. There was no significant difference in terms of complications and outcomes between performing the fasciotomy at the bedside or in the operating theatre (p = 0.456). Conclusions Fasciotomy appears to be a crucial surgical procedure for the care of earthquake causalities. Fasciotomy can be safely performed as a bedside procedure based on the urgency of the patient’s condition as well as the availability of the operating theatre.

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Section: Discussioncontrasting

confidence: 74%

Section: Discussioncontrasting

confidence: 61%

Clinical Features and Outcomes of Orthopaedic Injuries After the Kahramanmaraş Earthquake: a Retrospective Study From a Hospital Located in the Affected Region

Gök,

Melik

2023

Preprint

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“…Rapid extrication and transport of patients to the nearest hospital by search and rescue teams are critical for early treatment of compartment syndrome and crush injury. [25][26][27] Plastic surgeons play an essential role in post-disaster patient management, including the assessment and triage of large numbers of patients with soft tissue injuries and the selection of appropriate operative options for severe trauma, such as skin grafting and flap transplantation. [28] Plastic surgeons play an important part in reducing the workload of orthopedic specialists who are most active after an earthquake disaster.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of musculoskeletal injuries after the 2023 Kahramanmaras earthquake: A local hospital experience

Kulakoğlu,

Uzunay,

Pota

et al. 2023

Jt Dis Relat Surg

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Objectives The aim of this study was to evaluate musculoskeletal injuries, clinical follow-ups and treatments of trauma patients admitted to our hospital after the 2023 Kahramanmaras earthquake. Patients and methods Between February 6 th , 2023 and February 16 th , 2023, a total of 957 trauma patients (452 males, 505 females; mean age: 36.2±19.9 years; range, 0 to 97 years) who were affected by the earthquake were retrospectively analyzed. Age, sex, presence of orthopedic consultation, diagnosis of open/closed fracture, diagnosis of dislocation, presence and classification of soft tissue injury, additional system injury, preoperative and postoperative neurovascular examination status, presence of compartment syndrome, conservative/surgical applications, operation side, fasciotomy surgery and level, amputation surgery and level, length of stay in the hospital and intensive care unit (ICU), the Mangled Extremity Severity Score (MESS) score were collected. Results A total of 811 of the survivors were Turkish and 146 were Syrians. Of 957 earthquake victims, 40% had soft tissue injuries, 19% had closed fractures, 8.9% had other system injuries, 7.7% had crush injuries, 4.1% had nerve injuries, 2.1% had compartment syndrome, 2.1% had vascular injury, 1.8% had dislocation, and 1.7% had open fracture. Surgical or conservative treatments were applied to 574 patients with musculoskeletal injuries. Conservative treatment was applied to 322 of 574 patients and surgical procedure was applied to 252 patients. Conclusion The highest patient density is experienced within the first 24 h after a devastating earthquake. The most common injuries due to high-energy trauma are isolated soft tissue injuries and fractures. The definition of the demographic characteristics and clinical outcomes of earthquake patients is critical to the development of preparedness, response, and recovery policies for future disasters.

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Clinical features and outcomes of orthopaedic injuries after the kahramanmaraş earthquake: a retrospective study from a hospital located in the affected region

Gök,

Melik

2024

Scand J Trauma Resusc Emerg Med

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Background The purpose of this retrospective, single-institutional study was to report the clinical features and outcomes of orthopaedic injuries after the Kahramanmaraş earthquake. Methods An institutional database review was conducted to evaluate the results of patients who applied to our hospital’s emergency department after the Kahramanmaraş earthquake. Trauma patients referred to orthopaedics and traumatology were identified. Patient records were checked for injury type, fracture site, treatment type (conservative or surgical), surgical technique, and outcome. Diagnosis with crush syndrome and the need for haemodialysis were also noted. Bedside fasciotomy was undertaken based on the urgency of the patient’s condition, number of patients and the availability of the operating theatre. A team consisting of a trauma surgeon, a plastic surgeon, a board-certified physician in infectious disease, a reanimation specialist, a general surgeon and a nephrologist followed up with the patients. Results Within the first 7 days following the earthquake, 265 patients were admitted to the emergency department, and 112 (42.2%) of them were referred to orthopaedics and traumatology. There were 32 (28.5%) patients diagnosed with acute compartment syndrome. Fasciotomy was performed on 43 extremities of 32 patients. Of these extremities, 5 (11.6%) were upper and 38 (88.4%) were lower extremities.The surgeries of 16 (50%) of the patients who underwent fasciotomy were performed in the emergency department. There was no significant difference in terms of complications and outcomes between performing the fasciotomy at the bedside or in the operating theatre (p = 0.456). Conclusions Fasciotomy appears to be a crucial surgical procedure for the care of earthquake causalities. Fasciotomy can be safely performed as a bedside procedure based on the urgency of the patient’s condition as well as the availability of the operating theatre.

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Acute Compartment Syndrome

Cited by 3 publications

References 48 publications

Clinical Features and Outcomes of Orthopaedic Injuries After the Kahramanmaraş Earthquake: a Retrospective Study From a Hospital Located in the Affected Region

Clinical Features and Outcomes of Orthopaedic Injuries After the Kahramanmaraş Earthquake: a Retrospective Study From a Hospital Located in the Affected Region

Evaluation of musculoskeletal injuries after the 2023 Kahramanmaras earthquake: A local hospital experience

Clinical features and outcomes of orthopaedic injuries after the kahramanmaraş earthquake: a retrospective study from a hospital located in the affected region

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