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Orthopädie und Unfallchirurgie up2date 2014; 9(1): 19-32
DOI: 10.1055/s-0033-1357875
Prophylaxe und Management von Komplikationen
Georg Thieme Verlag KG Stuttgart · New York

Das akute Kompartmentsyndrom

Teil 2: Therapeutisches Vorgehen und Outcome
S. Hawel
1   Abteilung Unfallchirurgie und Orthopädie, Septisch-Plastische und Handchirurgie, Bundeswehrkrankenhaus Berlin
,
D. Sach
2   Gefäß- und Thoraxchirurgie, Bundeswehrkrankenhaus Berlin
,
T. M. Bublitz
1   Abteilung Unfallchirurgie und Orthopädie, Septisch-Plastische und Handchirurgie, Bundeswehrkrankenhaus Berlin
,
C. Willy
1   Abteilung Unfallchirurgie und Orthopädie, Septisch-Plastische und Handchirurgie, Bundeswehrkrankenhaus Berlin
› Author Affiliations
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Publication History

Publication Date:
18 February 2014 (online)

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Das manifeste Kompartmentsyndrom ist nach wie vor eine Notfallindikation der Unfallchirurgie und Orthopädie und muss zur umgehenden Druckentlastung durch eine sofortige Fasziotomie aller betroffenen Kompartimente behandelt werden. Eine verzögerte Therapie kann zu Muskelkontrakturen, persistierenden Sensibilitätsverlusten und komplettem Funktionsverlust der Extremität bis hin zur Amputation führen.

In Teil 1 wurden die Ätiologie, Pathophysiologie und die Diagnostik beschrieben (s. Hawel et al. [1]). Teil 2 des Artikels widmet sich dem therapeutischen Vorgehen inkl. der möglichen Komplikationen und dem Outcome.

 

    • Quellenangaben

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    • Zum Weiterlesen und Vertiefen

    • 1 Hawel S, Sach D, Bublitz TM, Willy C. Das akute Kompartmentsyndrom. Teil 1: Ätiologie, Pathophysiologie, Diagnostik. Orthop Unfallchir up2date 2014; 1: 3-16
      PubMedGoogle Scholar
    • 2 Mubarak SJ. Treatment of acute compartment syndrome. In: Willy C, Sterk J, Gerngross H, Hrsg. Das Kompartmentsyndrom. Hefte zu Der Unfallchirurg 267. Berlin, Heidelberg: Springer; 1998: 127-140
      Google Scholar
    • 3 Reverte MM, Dimitriou R, Kanakaris NK, Giannoudis PV. What is the effect of compartment syndrome and fasciotomies on fracture healing in tibial fractures?. Injury 2011; 42: 1402-1407
      CrossrefPubMedGoogle Scholar
    • 4 Zhang Q, Styf J, Lindberg LG. Effects of limb elevation and increased intramuscular pressure on human tibialis anterior muscle blood flow. Eur J Appl Physiol 2001; 85: 567-571
      CrossrefPubMedGoogle Scholar
    • 5 Zura RD, Adams jr. SB, Jeray KJ et al. Timing of definitive fixation of severe tibial plateau fractures with compartment syndrome does not have an effect on the rate of infection. J Trauma 2010; 69: 1523-1526
      CrossrefPubMedGoogle Scholar