8/9/2023 0 Comments Thigh muscle compartments![]() ![]() Once thigh compartment syndrome is identified, immediate and complete compartment releases are required to prevent further ischemic insult to the tissues. The disparity in outcomes may result from different mechanisms of injury, severity of soft tissue trauma, fracture, and/or the timing of treatment. In some patients this syndrome leads to significant morbidity and mortality with others experiencing complete recovery. ![]() on 28 patients with thigh compartment syndrome ( 4, 5). reported on their results of 17 patients and Mithöfer et al. A review of the English literature reveals only two series, aside from isolated case reports, which document the outcomes of this condition. While the mechanism of compartment syndrome has been well described in the literature, the outcomes of those affected by thigh compartment syndrome have not. The most common aetiologies include blunt trauma, with or without fracture, vascular injuries with ischemia reperfusion, or frank bleeding into the myofascial spaces ( 1, 2, 3). Vascular injuries are a common underlying cause and require prompt recognition and team work including surgical intensive care, interventional radiology, vascular and orthopaedic surgery in order to avoid severe medical and legal consequences.Ĭompartment syndróme of the thigh is a serious condition resulting from increased pressures and muscle damage within any of the three thigh fascial compartments. TCS is associated with high energy trauma and it is difficult to diagnose in non-cooperative-obtunded and polytrauma patients. Complications ranging from infection to amputation developed in 4/9 (44.4%) patients. Average time from admission to the operating room was 19.8 ± 6 hours and 3/9 (33%) were noted to have ischemic muscle changes upon compartment releases. A tense and edematous thigh was the most consistent clinical exam finding prompting the compartment release (77.8%). Patients developing TCS were young (average 34.8 years) and likely to have a vascular injury on presentation (55.5%). Retrospective cohort This study examines the course of treatment of nine consecutive patients with thigh compartment syndrome sustained during an eight-year period at our Level 1 trauma centre, admitting more than 2,000 trauma patients yearly. TCS is a rare (0.3% of trauma patients) condition of elevated pressure within a constrained space that may cause necrosis of all tissues within the compartment resulting in severe local (infection, amputation) and systemic complications (renal insufficiency, even death). To describe the patient population, etiology, and complications associated with thigh compartment syndrome (TCS). ![]()
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