The effect of time from injury to fasciotomy in patients with acute upper extremity compartment syndrome.

Gökhan Sert, Fethiye Damla Menku Ozdemir, Oznur Uzun, Galip Gencay Üstün
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Abstract

Background: Acute compartment syndrome of the upper extremity is a surgical emergency, and timely diagnosis with immediate fasciotomies is essential for the preservation of function. This retrospective study aimed to compare the complication rates of patients who underwent fasciotomy before and after 6 hours following the initial trauma.

Methods: The medical records of the patients who underwent fasciotomy for surgical treatment of ACS of the upper extremity between 2016 and 2022 were retrospectively analyzed for age, gender, dominant hand, mechanism of injury, injury level, affected compartments, associated injuries, time elapsed till fasciotomy, and complications. The patients were divided into two groups according to the timing of fasciotomy.

Results: A total of 32 patients underwent fasciotomies for upper extremity ACS. The mean age of patients who underwent fasciotomy ≤ 6 hours (group 1; 10 males, 7 females) and patients who underwent fasciotomy > 6 hours (group 2; 13 males, 2 females) was 31.1 and 34.8, respectively. The most common etiology was crushing injury. There was a significant difference in complication rates between group 1 (1/17) and group 2 (10/15) (p<0.001). The length of hospitalization stay in group 2 was statistically higher than in group 1 (p=0.005).

Conclusion: Fasciotomies for ACS of the upper extremity should be performed in less than 6 hours following the initial trauma to prevent complications.

急性上肢筋膜室综合征患者从受伤到筋膜切开术的时间影响。
背景:上肢急性筋膜室综合征是外科急症,及时诊断并立即进行筋膜切开术对保护患者功能至关重要。这项回顾性研究旨在比较在初次创伤后 6 小时之前和之后接受筋膜切开术的患者的并发症发生率:方法:回顾性分析2016年至2022年期间因上肢ACS手术治疗而接受筋膜切开术的患者的病历,包括年龄、性别、主导手、受伤机制、受伤程度、受累部位、相关损伤、筋膜切开术前的时间以及并发症。根据筋膜切开术的时间将患者分为两组:结果:共有 32 名上肢 ACS 患者接受了筋膜切开术。筋膜切开术时间≤6小时的患者(第1组,男性10人,女性7人)和筋膜切开术时间大于6小时的患者(第2组,男性13人,女性2人)的平均年龄分别为31.1岁和34.8岁。最常见的病因是挤压伤。第1组(1/17)和第2组(10/15)的并发症发生率有明显差异(P结论:上肢ACS的筋膜切开术应在初次创伤后6小时内进行,以防止并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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