Das akute Kompartmentsyndrom

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
• 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
• 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
• 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
• 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