What is the effect of compartment syndrome and fasciotomies on fracture healing in tibial fractures

Reverte, Maria Mercedes; Dimitriou, Rozalia; Kanakaris, Nikolaos K.; Giannoudis, Peter V.

doi:10.1016/j.injury.2011.09.007

Cited by 82Muscle and Compartmental DisordersBone fractures and treatmentsHip and Femur Fractures

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What is the effect of compartment syndrome and fasciotomies on fracture healing in tibial fractures

Reverte, Maria Mercedes, Dimitriou, Rozalia, Kanakaris, Nikolaos K., Giannoudis, Peter V.·2011·Injury

DOI 10.1016/j.injury.2011.09.007

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Abstract

Acute compartment syndrome (ACS) in tibial diaphyseal fractures has been associated with such complications as infection, delayed fracture healing or non-union, sensory and motor deficits, deformities, and poor functional outcome. Essential condition of an uncomplicated recovery is early diagnosis with prompt decompression. A comprehensive review of the literature was performed to evaluate the impact of compartment syndrome and leg fasciotomies on the time to fracture union and the incidence of delayed union and non-union in tibial diaphyseal fractures. A total of 16 articles, which included 245 tibial fractures complicated with compartment syndrome were analysed. There were statistically significant differences in the time to healing, being longer by 4.90 weeks (p<0.001), and in the rates of delayed union or non-union (55% versus 17.8%) (p<0.001) when these fractures were compared to tibial fractures without compartment syndrome. Patients with ACS of the tibia undergoing leg fasciotomies should be informed about the increased risk of impaired fracture healing and longer time to union.

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Authors: Reverte, M. M., Dimitriou, R., Kanakaris, N. K., & Giannoudis, P. V.
Affiliations: Leeds General Infirmary (GB)
Leeds Teaching Hospitals NHS Trust (GB)
ORCID: Dimitriou, Rozalia
Kanakaris, Nikolaos K.
Giannoudis, Peter V.
Venue: Injury
Publisher: Elsevier BV
Published: 2011-12
Volume: 42
Issue: 12
Pages: 1402-1407
ISSN: 0020-1383 (ISSN-L)
DOI: 10.1016/j.injury.2011.09.007
OpenAlex: W2149422679
Cited by: 82
References: 58
Citations by year: 2026: 5 · 2025: 3 · 2024: 9 · 2023: 3 · 2022: 1 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 10 · 2015: 10 · 2014: 5 · 2013: 6 · 2012: 3
FWCI: 0.81
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Injury (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Muscle and Compartmental Disorders
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
Health Sciences › Medicine › Surgery › Hip and Femur Fractures
Keywords: acute compartment syndrome, tibial fractures, diaphyseal fractures, fasciotomy, fracture healing, delayed union, nonunion, time to union, fracture complications
MeSH terms: Fasciotomy, Acute Disease, Age Factors, Compartment Syndromes, Female, Fractures, Ununited, Humans, Male, Tibial Fractures, Time Factors, Fracture Healing, Fractures, Malunited, Diaphyses, Decompression, Surgical

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What is the effect of compartment syndrome and fasciotomies on fracture healing in tibial fractures

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