Clinical and radiographic predictors of acute compartment syndrome in the treatment of tibial shaft fractures: a retrospective cohort study

Autor: Lydia Wuarin, Amanda I. Gonzalez, Matthieu Zingg, Patrick Belinga, Pierre Hoffmeyer, Robin Peter, Anne Lübbeke, Axel Gamulin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-11 (2020)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-020-3044-8
Popis: Abstract Background The purpose of this study was to evaluate the association between epidemiological, clinical and radiographic factors of patients with tibial shaft fractures and the occurrence of acute compartment syndrome. Methods 270 consecutive adult patients sustaining 273 tibial shaft fractures between January 2005 and December 2009 were included in this retrospective cohort study. The outcome measure was acute compartment syndrome. Patient-related (age, sex), fracture-related (high- vs. low-energy injury, isolated trauma vs. polytrauma, closed vs. open fracture) and radiological parameters (AO/OTA classification, presence or absence of a noncontiguous tibial plateau or pilon fracture, distance from the centre of the tibial fracture to the talar dome, distance between tibial and fibular fracture if associated, and angulation, translation and over-riding of main tibial fragments) were evaluated regarding their potential association with acute compartment syndrome. Univariate analysis was performed and each covariate was adjusted for age and sex. Finally, a multivariable logistic regression model was built, and odds ratios and 95% confidence intervals were obtained. Statistical significance was defined as p
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