SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 2

The effect of 2 different surgical methods on intracompartmental pressure value in tibial shaft fracture: An experimental study in a rabbit model

Cemil ERTÜRK
MEHMET AKİF ALTAY
NURAY ALTAY
İbrahim Avşin ÖZTÜRK
İslam BAYKARA
CEMİL SERT
Uğur Erdem IŞIKAN
Pages
85–90
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These results indicate that use of ICF in tibial fractures provides additional decompression in the anterior compartment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: Intracompartmental pressure (ICP) monitoring is a widely used modality, particularly after intramedullary nailing of tibial shaft fractures.
📊
Key Findings & Data:The present study is a comparison of ICP value in tibial fractures in a rabbit model fixed with ICF and IMP.METHODS: Twenty male New Zealand White rabbits were randomly divided into 2 groups of equal size: ICF group (Group 1) and IMP group (Group 2).
💡
Conclusion & Impact:These results indicate that use of ICF in tibial fractures provides additional decompression in the anterior compartment.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Intracompartmental pressure (ICP) monitoring is a widely used modality, particularly after intramedullary nailing of tibial shaft fractures. It was hypothesized that ICP value in fracture fixed with Ilizarov circular fixator (ICF) might be lower than in fracture fixed with intramedullary pin (IMP). The present study is a comparison of ICP value in tibial fractures in a rabbit model fixed with ICF and IMP.METHODS: Twenty male New Zealand White rabbits were randomly divided into 2 groups of equal size: ICF group (Group 1) and IMP group (Group 2). Under anesthesia, half of proximal part of the right tibia of all rabbits was fractured. Tibial fractures were fixed with ICF in Group 1 and IMP in Group 2. ICP values were monitored at 6-hour intervals for 48 hours.RESULTS: There was statistically significant difference in ICP value between groups (p<0.001). While there was statistically significant increase in ICP values 24 hours post surgery, there was statistically significant decrease during second 24 hours following surgery. Most importantly, ICP values of ICF group were significantly lower than those of IMP group at 30, 36, and 42 hours post surgery (p<0.05).CONCLUSION: At 24th hour after fixation, ICP values measured in ICF group were lower compared with those of IMP group. These results indicate that use of ICF in tibial fractures provides additional decompression in the anterior compartment. In light of these findings, ICF may be preferable for treatment of tibial fractures with high risk for compartment syndrome

🔖

Cite This Article

ERTÜRK, C., ALTAY, M. A., ALTAY, N., ÖZTÜRK, İ. A., BAYKARA, İ., SERT, C., IŞIKAN, U. E. (2017). The effect of 2 different surgical methods on intracompartmental pressure value in tibial shaft fracture: An experimental study in a rabbit model. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 2, 85–90. https://ajindex.com/articles/323705

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. McQueen MM, Christie J, Court-Brown CM. Acute compartment syndrome in tibial diaphyseal fractures. J Bone Joint Surg Br 1996;78:95–8
  2. Giannoudis PV, Tzioupis C, Pape HC. Early diagnosis of tibial compartment syndrome: continuous pressure measurement or not? Injury 2009;40:341–2
  3. Templeman DC, Anglen JO, Schmidt AH. The management of complications associated with tibial fractures. In: Azar FM, O’Connor MI, editors. Instructional course lectures, Vol
  4. Section 1 Trauma. First ed. American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL P. 2009;47–60
  5. Ojike NI, Roberts CS, Giannoudis PV. Compartment syndrome of the thigh: a systematic review. Injury 2010;41:133–6
  6. Rudloff MI. Fractures of lower extremity. In: Canale ST, Beaty JH, editors. Campbell’s operative orthopaedics, Vol
  7. Chapter:54. 12th ed. Mosby- Elsevier, Philadelphia 2013. p. 2618–720
  8. Garner MR, Taylor SA, Gausden E, Lyden JP. Compartment syndrome: diagnosis, management, and unique concerns in the twenty-first century. HSS J 2014;10:143–52
  9. Djahangiri A, Garofalo R, Chevalley F, Leyvraz PF, Wettstein M, Borens O, et al. Closed and open grade I and II tibial shaft fractures treated by reamed intramedullary nailing. Med Princ Pract 2006;15:293–8
  10. Ertürk C, Altay MA, Bilge A, Altay N, Işikan UE. Do additional intramedullary elastic nails improve the results of definitive treatment with external fixation of open tibia fractures? A prospective comparative study. Orthop Traumatol Surg Res 2013;99:208–15
  11. Ramos T, Eriksson BI, Karlsson J, Nistor L. Ilizarov external fixation or locked intramedullary nailing in diaphyseal tibial fractures: a randomized, prospective study of 58 consecutive patients. Arch Orthop Trauma Surg 2014;134:793–802
  12. Oztürkmen Y, Karamehmetoğlu M, Karadeniz H, Azboy I, Caniklioğlu M. Acute treatment of segmental tibial fractures with the Ilizarov method. Injury 2009;40:321–6
  13. Trafton PG. Tibial shaft fractures. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, and Krettek C. eds. Skeletal Trauma. Vol. 2, Chapter: 58. Fourth ed. Copyright © W. B. Saunders Company; 2009. p. 2319–451
  14. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. In: Green S (Ed) Transosseus osteosynthesis. Theoretical and clinical aspects of the regeneration and growth of tissue. Springer-Verlag Berlin 1992. p. 137–255
  15. Solomin LN. The basic principles of external fixation using the Ilizarov device. Milan, Berlin, Heide