A decompression treatment of leg fractures compartment syndrome skin graft.docVIP

 PAGE \* MERGEFORMAT 7 A decompression treatment of leg fractures compartment syndrome skin graft [Keywords:] Fracture Compartment syndrome is a phalanx, bone fascia, intermuscular septum and the deep fascia compartment formed within the region, due to increased pressure due to various reasons, the poor organization of the microcirculation, leading to muscle and nerve characterized by acute severe ischemic disease. to the most occur after fracture [1]. In particular, transportation, mining, violent injury, the symptoms are not uncommon, handled properly, will cause physical disability, and even life-threatening. in the past on the bone first decompression of compartment syndrome, fracture fixation, tension wounds bandaged dressing .7 ~ 8 d after the swelling subsided, secondary suture or skin grafting eliminate wound [2]. Thus, longer duration of patients, suffering major medical high cost, easy to infection. line one-time decompression, ventricular cavity catheter drainage, fracture fixation, whole skin graft wound tension, after routine 20% mannitol 250 mL, 3 to 4 times per day 3 d dehydration treatment to obtain satisfactory results. 1 Clinical data 1.1 General Information The group of 15 patients, 11 males and 4 females, aged 21 to 68 years, mean 38 years. The causes of injury: 9 cases of traffic injury, fall injury in 1 case, 2 cases of crush injury, injured by heavy 3. treatment time 1 ~ 12 h, an average of 3 h. 14 cases of tibia and fibula fracture, no fracture in 1. associated injuries: traumatic brain injury in 1, lumbar spine fracture in 1, traumatic rupture in 1 case, open fractures 3 cases. fixed the number of cases and total cases are inconsistent, the line of tibial intramedullary nailing in 6 cases, tibia anatomical plate in 3 cases, distal tibial plate in 1 case, the tibia mid-point of plate fixation in 2 cases, single-arm external fixation in 2 cases. All the patients admitted to hospital admission before and after the height of leg