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Compartment syndrome more common among plateau fractures with fibular fractures
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Patients with specific plateau fractures co-occurring with fibular fractures were more likely to develop compartment syndrome, according to results.
Researchers classified 978 fractures according to the AO/OTA system, and all plateau fractures were classified according to the Schatzker system. Overall, compartment syndrome occurred in 6% of tibial fractures, according to researchers.
When considering all fractures, results showed every 10% increase in the ratio of fracture length to tibial length increased the odds of compartment syndrome by 1.67. Researchers found compartment syndrome was most likely to occur with plateau fractures (12%) compared with shaft fractures (3%) and pilon fractures (2%), and were more likely to develop with Schatzker VI fractures than any other Schatzker type.
Fibular fracture was predictive of compartment syndrome with plateau fractures, but not with shaft fractures or with all fractures assessed together, according to results. Compared with other shaft fractures, researchers noted compartment syndrome was not more likely to develop in patients with segmental fractures. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.
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