Back to Search
Start Over
Primary closure of fasciotomies has a reduced complication rate following compartment syndrome in the paediatric population.
- Source :
-
International orthopaedics [Int Orthop] 2024 Sep; Vol. 48 (9), pp. 2475-2481. Date of Electronic Publication: 2024 Jun 14. - Publication Year :
- 2024
-
Abstract
- Purpose: Currently no guidance exists within the literature regarding diagnostic criteria or the long-term outcomes for paediatric patients with acute compartment syndrome (ACS). We conducted a retrospective cohort study reviewing all cases of paediatric ACS managed at a single tertiary referral centre with the aim of characterising the factors responsible for the eventual outcomes.<br />Methods: The patient cohort was identified retrospectively by interrogating the hospital coding system for all paediatric patients between January 2014 and November 2022. The electronic emergency department, inpatient and operative notes as well as clinic letters for each patient were reviewed and data collected regarding presentation, associated injuries, management and subsequent complications plus length of follow-up. The data was analysed to determine if differences in presentation or management affected long term outcome.<br />Results: The final cohort consisted of 34 patients with a mean age of ten years at the time of presentation. The mean time from presentation to fasciotomy was 27.6 h (range 3.0 - 66.6). There was an overall complication rate of 37.5% with a mean follow-up period of 21 months. Patients who had direct closure of their fasciotomy wounds had a significantly lower complications rate and fewer operations compared to those who healed via other wound coverage methods or secondary intention (pā<ā0.05).<br />Conclusions: Significantly higher complication rates were observed in patients who were unable to have direct wound closure following emergency fasciotomy. This information may be utilised to rationalise long term treatment plans and in counselling of patients and parents.<br /> (© 2024. The Author(s) under exclusive licence to SICOT aisbl.)
- Subjects :
- Humans
Child
Retrospective Studies
Male
Female
Child, Preschool
Adolescent
Treatment Outcome
Infant
Fasciotomy methods
Compartment Syndromes etiology
Compartment Syndromes surgery
Compartment Syndromes diagnosis
Compartment Syndromes epidemiology
Postoperative Complications epidemiology
Postoperative Complications etiology
Postoperative Complications prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1432-5195
- Volume :
- 48
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- International orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 38874669
- Full Text :
- https://doi.org/10.1007/s00264-024-06233-1