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PREVENTION AND TREATMENT OF COMPARTMENT SYNDROME DURING CLOSED LOCKABLE INTRAMEDULLARY OSTEOSYNTHESIS OF TIBIA

Tkach A. V., Mykhaylichenko V. U., Plotkin A. V., Tihonenko Al. An., Kobets Y. V., Tihonenko An. Al. (un), Baskakov P. N., Babich T. Yu., Bezrukov O. F.

The aim of our study: to increase the effectiveness of prevention and treatment of compartment syndrome shin during locked reduction and osteosynthesis of the tibia shaft, based on preventive and semi-closed fasciotomy. Methods of study: The research is based on managing of 93 patients with tibia diaphysis fractures. Managing was made on BIOS in orthopedy and trauma department at GBUZ RK «Emergency Hospital № 6» (Simferopol) In most cases we have been using metal structures ChM (81 patients – 87,10%) 11,83% - Bliskunov’s clamp, 1 case (1,07%) metal structures Stryker from 1992 to 2015. Medical surgery was made in orthopedic and trauma department of GBUZ RK «Emergence Hospital № 6» Simferopol. Conclusion: based on the development and application of preventive fasciotomy from technological access for implantation of a blocking intramedullary rod, an effective method for the prevention of MGIS has been obtained. In 93, 7% of locked osteosynthesis of tibia MGIS (1-2 degree) appears. There was no MGIS in opened osteosynthesis. Increasing subfascial pressure in locked reposition with next using BIOS noticed in anterolateral and lateral shin cases. Preventive fasciotomy of shin from implantation locking rod dissections can prevent MGIS development. Keywords: compartment syndrome, MGIS, intramedullary osteosynthesis.

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