Delayed Presentation of Acute Compartment Syndrome After Isolated Closed Fibular Shaft Fracture: A Case Report.

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Abstract

Conflict of interest statement: The authors have declared that no competing interests exist. 11. Am J Surg. 2024 Aug;234:129-135. doi: 10.1016/j.amjsurg.2024.04.013. Epub 2024 Apr 16. Evaluation of obesity and age as a predictive factor of lower extremity compartment syndrome: A national trauma data bank analysis. Light JJ(1), Davis JM(2), Dunahoe J(3), Stwalley D(4), Miller AN(3), Cannada LK(5). Author information: (1)Eastern Virginia Medical School, Norfolk, VA, USA. (2)Penn State College of Medicine, M.S. Hershey Medical Center, Hershey, PA, USA. (3)Washington University Department of Orthopaedic Surgery, St. Louis, MO, USA. (4)Washington University Institute for Informatics, Data Sciences and Biostatistics, St. Louis, MO, USA. (5)Novant Health Orthopaedic Fracture Clinic, University of North Carolina School of Medicine, Charlotte Campus, Charlotte, NC, USA. Electronic address: cannada.lisa@gmail.com. BACKGROUND: Risk factors of acute compartment syndrome (ACS) of the leg include tibial fractures followed by soft tissue injuries. METHODS: Data collected from the National Trauma Data Bank (NTDB) between 2017 and 2019 were analyzed for adult patients with lower extremity fractures, including proximal tibia, tibial shaft, and distal tibia. The primary outcome was a diagnosis of ACS. RESULTS: There were 1052/220,868 patients with lower extremity fractures with a concomitant diagnosis of compartment syndrome. Our study has shown that patients with a BMI of ≥30 had a lower incidence of compartment syndrome when compared with patients with a BMI of 25-29 and controlled for fracture type. Increased age ≥55 in males, and females between 65 and 84, also demonstrated a decreased risk. Proximal tibial fractures (n ​= ​54,696) were significantly associated with ACS compared to midshaft (n ​= ​42,153) and distal (n ​= ​100,432), p ​