Compartment Pressure Changes after Closed Reamed and Unreamed intramedullary nailing for fracture Tibia

Abstract

Objectives: The objectives of this study are to:1) Measure the anterior compartment pressure changes after closed reamed and unreamed intramedullary nailing for fracture tibia. 2) Evaluate the risk of compartment syndrome with reamed intramedullary nailing as compared to unreamed nailing
Study Design: Quasi experimental study.
Place and Duration: The study has been carried out at Orthopedics Department Sheikh Zayed Hospital, Lahore from 21st January 2016 to 20th October 2016.
Methodology: A total no of sixty cases were taken which were divided into two groups. All the patients between 18-65 years of age with the closed fracture of tibia were admitted in orthopedics ward through the emergency department. They were divided into two management groups randomly by using a random number table. Group A was dealt with reamed intramedullary nailing and B with un-reamed intramedullary nailing. The compartment pressure changes were measured in both groups.
Results: Majority of the patients in both groups were males. The mean age in Group A was 35.97±15.51 and in Group B were 35.30±12.29 years. Postoperative compartment pressure in Group A was 19.60±4.36mmHg and in Group B was 16.37±3.79mmHg. Both the values are clinically non-significant.
Conclusions: We concluded that reaming is not a significant cause in the development of compartment syndrome.