Changes of Fascial Compartment Pressure in Internal Fixation for Forearm Bones in Children Using Elastic Metal Nails

A.F. Levytsky, Yu.R. Terpylovsky, O.V. Bebeshko, V.M. Vityaz


The research is based on the analysis of changes in fascial compartment pressure in 33 children with diaphyseal fractures of the forearm, in whom we used internal fixation by elastic metal nails in the first 24 hours after injury and at 5th–10th day. Analysis suggests that when using closed and open reduction with the following internal fixation, fascial compartment pressure didn’t increase to critical level, and this technique can be used on the first day after the injury, as well as in secondary displacement (at 5th–10th day).


internal fixation; forearm fractures; children; compartment syndrome


Cheng J.C., Ng B.K., Ying S.Y., Lam P.K. A 10-year study of the changes in the pattern and treatment of 6,493 fractures // J. Pediatr. Orthop. — 1999 May-Jun. — 19(3). — 344-50.

Ilkka Helenius, Tommi S. Lamberg, Sakari Kääriäinen, Antti Impinen, Mikko P. Pakarinen. Operative Treatment of Fractures in Children Is Increasing: A Population-Based Study from Finland // J. Bone Joint Surg. Am. — 2009 Nov 01. — 91(11). — 2612-2616.

Flynn J.M., Jones K.J., Garner M.R., Goebel J. Eleven years experience in the operative management of pediatric forearm fractures // J. Pediatr. Orthop. — 2010 Jun. — 30(4). — 313-9.

Yuan P.S., Pring M.E., Gaynor T.P., Mubarak S.J., Newton Р.О. Compartment syndrome following intramedullary fixation of pediatric forearm fractures // J. Pediatr. Orthop. — 2004 Jul-Aug. — 24(4). — 370-5.

Страфун С.С., Бруско А.Т., Лябах А.П., Лєсков В.Г., Тимошенко С.В. Профілактика, діагностика та лікування ішемічних контрактур кисті та стопи. — Київ: Стилос, 2007. — С. 114-122.

Lascombes Pierre. Flexible Intramedullary Nailing in Children, The Nancy University Manual 1st Edition / Lascombes Pierre. — Springer-Verlag Berlin Heidelberg, 2010. — P. 183, 159-167.

Mark L. Prasarn, Elizabeth A. Ouellette. Acute Compartment Syndrome of the Upper Extremity // J. Am. Acad. Orthop. Surg. — 2011. — 19. — 49-58.

Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2020


   Seo анализ сайта