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See Latest ArticlesEffect of Intramedullary Nails in Tibial Shaft Fractures as a Factor in Raised Intracompartmental Pressures: a Clinical Study
European Journal of Trauma and Emergency Surgery, 10/02/09
Torrero JI et al. – Reamed intramedullary nails can increase compartment pressures in tibial shaft fractures. The delta P value can influence the decision about whether to perform a fasciotomy. The diagnosis of compartment syndrome must be based on clinical findings. If there is any doubt, the authors recommend measuring the pressure and using a cut–off value for fasciotomy of delta P < 40 mmHg. A delay in definitive treatment is suggested until pressure values are secure.
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