Bone compartment syndrome in patients with early care and rehabilitation training.docVIP

 PAGE \* MERGEFORMAT 10 Bone compartment syndrome in patients with early care and rehabilitation training Author: Jia Qin Zhang Xiaoying Dai Yaqin Zhu Hongying by Dan England Keywords: bone compartment syndrome Bone compartment syndrome (OCS) is a limb fracture, one of the common serious complications due to limb muscles and nerves are in from the fascia into the formation of spacers, when the pressure of which will affect the blood circulation increase and tissue function, leading to muscle necrosis, nerve palsy, if an early care and rehabilitation therapy can prevent or reduce the limb disability. Our hospital from July 2004 to June 2007, the 56 cases of the dynamics of OCS in patients with early to take care measures and rehabilitation training, and achieved satisfactory results, are reported as follows. A clinical data The group of 56 cases, male 41 cases and 15 female, aged 21 to 69 years (mean 45.5 years); three cases of fracture of the left forearm, right forearm fracture in 6 cases, 22 cases of fracture of the left tibia and fibula, right tibia and fibula fractures in 23 cases, 2 cases of fracture of right femur; accident 46 cases of RCC injury, injured by landslides in 8 cases, gypsum and plywood after external fixation in 1 case. Treatment time: 2h 16 after injury, Li, 4h 31 Li, 9h 7 Li, 25 ~ 30h 2 Li. By Whitseide manometry [1] Determination of the various limb compartment pressure, according to ≥ 2.75kPa prompted OCS that may (in this group of 42 patients), ≥ 4kPa time, OCS diagnosis was established (in this group of 14 cases). OCS 14 cases confirmed to immediate use by surgical decompression fasciotomy, skin, 12 cases of early suture, and the other two cases of delayed incision; OCS routine conservative treatment that may 42. Follow-up of 6 to 12 months, the fracture healed well without sequelae, immediate decompression surgery in 12 cases, postoperative anti-inflammatory swelling of the joints and muscle strength unaf