The effect of traction on compartment pressures during intramedullary nailing of tibial-shaft fractures. A prospective randomised trial
| Autor: | Alan J. Laing, C. V. R. Prasad, J. P. Mccabe, Satish Kutty |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures medicine.medical_treatment Compartment Syndromes law.invention Intramedullary rod law Traction medicine Pressure Humans Orthopedics and Sports Medicine Tibia Prospective Studies Aged 80 and over Leg Original Paper business.industry Significant difference Traction (orthopedics) Middle Aged eye diseases Surgery Fracture Fixation Intramedullary Tibial Fractures Critical level Orthopedic surgery Female sense organs business |
| Zdroj: | International orthopaedics. 29(3) |
| ISSN: | 0341-2695 |
| Popis: | Our aim was to study the effect of traction on the compartment pressures during intramedullary nailing of closed tibial-shaft fractures. Thirty consecutive patients with Tscherne C1 fractures were randomised into two groups. Sixteen patients underwent intramedullary nailing of the tibia with traction and 14 patients without traction. Compartment pressures were measured before the application of traction or commencement of the procedure and at the end of the procedure. The data collected was analysed using Students t test. There was no statistically significant difference (p > 0.05) in the pre-operative mean compartment pressures for both groups. The mean post-operative measurements were higher in all four compartments in the traction group (p < 0.05). None of the pressures reached the critical level. These results show that traction as an aid unnecessarily increases compartment pressures. |
| Databáze: | OpenAIRE |
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