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Ege Journal of Medicine
2019, Cilt 58, Sayı 1, Sayfa(lar) 001-007
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Management of acute limb compartment syndrome: A survey of clinical practice among orthopedics and traumatology surgeons in Turkey
Onur Başcı1, Ahmet Emrah Acan2, Mehmet Erduran1,
1Dokuz Eylül University Faculty of Medicine, Department of Orthopedics and Traumatology, İzmir, Turkey
2Sıtkı Koçman University Faculty of Medicine, Department of Orthopedics and Traumatology, Muğla, Turkey
Keywords: Compartment syndrome, clinical management, fasciotomy, compartment pressure measurement

Aim: The aim is to conduct a survey of currently practising orthopedics and traumatology surgeons and residents in Turkey regarding their current practice and perceptions on compartment syndrome management.

Materials and Methods: A structured survey was developed for the study. Diagnosis in alert and unconscious patients, clinical signs of the condition, compartment pressure measurement, optimal time frame and technique for performing a fasciotomy, and preventive measures in patients with limb injuries were assessed.

Results: Due to the evaluation, most significant and earliest symptom thought to be pain in 74% and 82.2% respectively. In diagnostic approach of conscious patients, 59.6% find intense pain and intense pain with passive stretching sufficient for diagnosis. In unconscious patients, 22.6% measure intracompartment pressure in every patient and if high in first measurement, indicates emergent fasciotomy, whereas 59.5% apply emergent fasciotomy in clinical suspicion without measuring intracompartment pressure. 89.7% don’t use pressure gauge in case of a compartment syndrome suspicion. 55.5% have not seen manually constructed mechanism before. 25.3% participants have sufficient knowledge to construct the mechanism.

Conclusion: There are controversies in the management of compartment syndrome in Turkey, development of clinical practice guidelines may encourage best practice, reduce variations and reduce the incidence of complications.

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