Monitoring antebrachial compartmental pressure in displaced supracondylar elbow fractures in children

Carbonell, Pilar; Prats, Fernando López; Fernández, Pedro Doménech; Valero, Jose Manuel Valiente; Sastre, Sigfrido

doi:10.1097/01202412-200411000-00013

Cited by 6 publications

(1 citation statement)

References 24 publications

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“…It has been reported in the literature that the volar compartment is frequently affected in the presence of compartment syndrome in children with supracondylar humerus fractures, and the posterior compartment is rarely affected. 11 Carnobell et al 12 measured forearm volar deep compartment pressures in pediatric supracondylar humerus fractures and found that compartment pressures decreased in the first 3 days after surgery compared with preoperative values. According to these researchers, the first 24 to 48 hours is an important period in terms of monitoring the compartment pressure.…”

Section: Discussionmentioning

confidence: 99%

Forearm Compartment Pressure Change in Children Operated for Supracondylar Humerus Fracture

Toğaç

Eken

Ermutlu

et al. 2022

Journal of Pediatric Orthopaedics

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Background: The aim of this study is to examine the preoperative and postoperative forearm compartment pressures in patients treated operatively for Gartland type III extension type supracondyler humerus fractures and understand the course of these values over postoperative period. Methods: Deep volar compartment pressure of 31 patients were measured in the proximal one third of the forearm preoperatively, and measurements were continued every 4 hours for the first 24 hours after the operation with a catheter. Type of the reduction technique (open reduction vs. closed reduction), duration of surgery, the time from the injury to surgery were all evaluated. Results: In the measurements made immediately after the operation (0 h), a sudden increase in the compartment pressure was detected in all patients (15.0±5.9 to 27.9±7.5 mm Hg) independent of the reduction technique and gradually decreased over time. The mean compartment pressure at the 12th hour postoperatively was higher in the open reduction group than in the CR group (24.5±3.4, 20.7±6.7 mm Hg, respectively) (P=0.044). The mean preoperative compartment pressure was 17.7±5.8 mm Hg in patients with a time from injury to surgery longer than 12 hours, and 12.4±4.8 mm Hg in patients with 12 hours or less (P=0.006). The postoperative 0-, 12-, and 20-hour pressure values were higher in the >1 hour operation time group than in the ≤1 hour group and the differences were statistically significant (P=0.046, 0.016, and 0.032, respectively). Conclusions: In pediatric supracondylar humeral fractures, those who underwent open reduction had higher preoperative and postoperative compartment pressures. The reduction attempt was found to be a factor that increased the compartment pressure and after the operation, the compartment pressure values decrease gradually. Prolonged operative time (>1 h) and increased time from injury to operative fixation (>12 h) were associated with higher compartment pressures. Level of Evidence: Level II—prospective study.

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Section: Discussionmentioning

confidence: 99%

Forearm Compartment Pressure Change in Children Operated for Supracondylar Humerus Fracture

Toğaç

Eken

Ermutlu

et al. 2022

Journal of Pediatric Orthopaedics

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Compartmental pressure after percutaneous tenotomy of the Achilles tendon in children with infantile cerebral palsy

Carbonell

2014

Childs Nerv Syst

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Design and Feasibility Test of Motorized Hand-Held Devices for Intra-compartmental Pressure Monitoring

Yang,

Hyun,

Kim

et al. 2023

Int. J. Precis. Eng. Manuf.

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Monitoring antebrachial compartmental pressure in displaced supracondylar elbow fractures in children

Abstract: Compartmental pressure decreased 60% the first 3 days. In displaced supracondylar fractures with clinical risk factors, it is advisable to monitor compartmental pressure during the first 24-48 h.

Cited by 6 publications

References 24 publications

Forearm Compartment Pressure Change in Children Operated for Supracondylar Humerus Fracture

Forearm Compartment Pressure Change in Children Operated for Supracondylar Humerus Fracture

Compartmental pressure after percutaneous tenotomy of the Achilles tendon in children with infantile cerebral palsy

Design and Feasibility Test of Motorized Hand-Held Devices for Intra-compartmental Pressure Monitoring

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