PRESSURE IN PLASTER BACKSLABS AFTER SURGERY FOR ANKLE FRACTURES

被引：6

作者：

BOWYER, GW ^{[1
]}

IU, M ^{[1
]}

REYNARD, JM ^{[1
]}

机构：

[1] BROOK GEN HOSP,DEPT ORTHOPAED,LONDON SE18 4LW,ENGLAND

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1993年 / 24卷 / 02期

关键词：

D O I：

10.1016/0020-1383(93)90203-I

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Concern over the safety of applying a cast when postoperative swelling might be expected, prompted a study of the pressure inside backslabs. Using a modified Sengstaken tube, pressure measurements were taken from black.slabs applied for temporary support after open reduction and internal fixation of 15 ankle fractures. The mean pressure rise was 4.6 cm H2O (3.4 mmHg), the maximum increase in any cast was 18 cm H2O (13.2 mmHg), and the maximum pressure reached was 27.5 cm H2O (20.2 mmHg). There were no clinical signs or symptoms of excessive compression by the cast and in all cases the pressure had reached its maximum and begun to fall within 3 h of the operation. The ankle swelling associated with injury and surgery seems not to produce an unacceptable pressure rise within backslabs applied postoperatively.

引用

页码：121 / 122

页数：2

共 5 条

[1]

Bingold, On splitting plasters: a useful analogy, J. Bone Joint Surg., 61 B, (1979)

[2]

Moir, Wytch, Ashcroft, Et al., Intracast pressure measurements in Colles' fractures, Injury, 22, (1991)

[3]

Muller, Allgower, Schneider, Manual of Internal Fixation. Techniques Recommended by the AO-ASIF Group, (1991)

[4]

Muller, Nazarian, Koch, The Comprehensive Classification of Fractures of the Long Bones, (1990)

[5]

Younger, Curran, McQueen, Backslabs and plaster casts: which will best accommodate increasing intracompartmental pressures?, Injury, 21, (1990)

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