Povyshenie vnutrifutlyarnogo davleniya i vozmozhnost'fastsiotomiy pod endovideoskopicheskim kontrolem u postradavshikh s perelomami kostey goleni

From 2004 till 2008 the index of intracompartmental pressure was analysed at 58 patients with comminuted fractures of the lower legs and significant damage of soft tissue. 72,4% of them had moderate rise of intracompartmental pressure (from 15 to 29 mm Hg) and in 27,6% the pressure was high (more than 30 mm Hg). We develop the subcutaneous endoscopy-assistant method of the fascial dissection. This technic had a lower risk of damage the vessels, nerves and muscles. 12,1% patients had an open decompression, 34,5% - subcutaneous, and in 53,4% by endoscopy-assistant fasciotomy. The tibial fractures was treated by external fixations or locked tibial nails. Monitoring of intracompartmental pressure showed the high effectivenes of subcutaneous endoscopy-assistant fasciotomy, such as after the open decompression.

intracompartmental pressure, shin fractures, endoscopy, fasciotomy