Publications by authors named "Patrick Belinga"
Association between open tibia fractures and acute compartment syndrome: A retrospective cohort study.
Orthop Traumatol Surg Res
September 2022
Background: Studies on the association of open tibia fractures and acute compartment syndrome (ACS) show confusing results, with some papers highlighting a positive association, and others failing to do so. The aim of this study was to determine if an open tibia fracture is at increased risk of ACS occurrence, when compared to a closed fracture.
Hypothesis: Skin injury in the setting of an open tibia fracture does not prevent from ACS occurrence, because the energy transmitted to the limb during trauma may lead to soft tissue lesions, including skin lacerations and ACS.
Background: The purpose of this study was to evaluate the association between epidemiological, clinical and radiographic factors of patients with tibial shaft fractures and the occurrence of acute compartment syndrome.
Methods: 270 consecutive adult patients sustaining 273 tibial shaft fractures between January 2005 and December 2009 were included in this retrospective cohort study. The outcome measure was acute compartment syndrome.
Article Synopsis
- The study aimed to investigate how demographic, injury-related, clinical, and radiological factors influence the risk of developing acute compartment syndrome (ACS) in patients with tibial plateau fractures.
- Data from 265 patients with tibial plateau fractures were analyzed, revealing that 10.4% developed ACS, with significant associations found between ACS and factors like non-contiguous tibia fractures or knee dislocation and higher AO/OTA classification.
- The findings suggest that certain indicators, such as specific fracture patterns, can help surgeons identify patients at higher risk for ACS, prompting closer monitoring and necessary pressure measurements, especially in patients with unclear clinical signs.