Isolated Fibula Fracture With Development of Acute Compartment Syndrome.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Bortman, Buchanan, and Freccero. 15. Rev Med Suisse. 2011 Dec 21;7(322):2482, 2484-8. [Open fractures of the tibia in the adult: surgical treatment and complications]. [Article in French] Kohlprath R(1), Assal M, Uçkay I, Holzer N, Hoffmeyer P, Suva D. Author information: (1)Service de chirurgie orthopédique et de traumatologie de l'appareil moteur, HUG, Genève. raphael.kohlprath@gmail.com Open tibial shaft fractures represent high-energy trauma and are associated with a substantial risk of complications. Management is an emergency, and the first steps in treatment include antibiotic prophylaxis, tetanus booster, surgical debridement, irrigation of the wound and stabilization of the fracture. The Gustilo and Anderson classification helps to guide definitive treatment. Intramedullary nailing is the surgical technique of choice. An indirect approach utilizing external fixation is recommended for Gustilo IIIB and IIIC fractures. The most prevalent complications are compartment syndrome (10%), infection (2%-40% without antibiotics according to Gustilo grading, most notably in the presence of vascular lesions), aseptic nonunion (23%), venous thromboembolism (60% without prevention) and anterior knee pain (>50%).