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International Orthopaedics

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01-12-2022 | Tibia Fracture | Review

Predictors of acute compartment syndrome in patients with tibial fractures: a meta-analysis

Authors: Tao Wang, Junfei Guo, Yubin Long, Zhiyong Hou

Published in: International Orthopaedics | Issue 1/2023

Abstract

Study design

This is the first meta-analysis focusing on the risk factors related to ACS after tibial fractures.

Background

Acute compartment syndrome (ACS) is a serious complication that affects 2–9% of tibial fracture patients. It is importance of identifying the predictors of ACS in patients with tibial fractures.

Questions/purposes

We performed a meta-analysis to identify the risk factors of ACS after tibial fracture.

Methods

We searched articles in the English databases, such as PubMed, Embase, and the Cochrane Library and the Chinese databases including CNKI and WAN FANG. We collected data related to ACS from included studies and analyzed data by RevMan 5.3 and STATA 12.0.

Results

The rate of ACS was 2.7% (10,708 of 398,414 patients) from 16 included articles. Our data showed that younger age (p < 0.00001, OR = − 7.93, 95% CI [− 9.34, − 6.25]), male patients (p < 0.00001, OR = 2.17, 95% CI [2.07, 2.28]), patients without a history of hypertension (p < 0.00001, OR = 0.69, 95% CI [0.64, 0.74]), with a history of smoking (p < 0.00001, OR = 1.38, 95% CI [1.30, 1.46]), and patients with fibular fractures (p = 0.001, OR = 2.68, 95% CI [1.47, 4.87]), closed fracture (p = 0.02, OR = 0.86, 95% CI [0.75, 0.98]), high-energy injury (p = 0.003, OR = 0.37, 95% CI [0.19, 0.71]), motorized accident (p = 0.0009, OR = 0.41, 95% CI [0.24, 0.69]), proximal fracture, AO-C-type fracture, comminuted fracture, and Schatzker grade IV–VI fracture were associated with the development of ACS. Additionally, femoral displacement ratio and tibial widening ratio in the ACS groups were significantly higher than in the non-ACS group.

Conclusion

Many factors were found to be associated with the development of ACS following tibial fractures. We provide references when we met the above characteristics of patients to rapidly identify and highly concern ACS.

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Title: Predictors of acute compartment syndrome in patients with tibial fractures: a meta-analysis
Authors: Tao Wang
Junfei Guo
Yubin Long
Zhiyong Hou
Publication date: 01-12-2022
Publisher: Springer Berlin Heidelberg
Keywords: Tibia Fracture
Compartment Syndrome
Published in: International Orthopaedics / Issue 1/2023
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-022-05643-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictors of acute compartment syndrome in patients with tibial fractures: a meta-analysis

Abstract

Study design

Background

Questions/purposes

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Study design

Background

Questions/purposes

Methods

Results

Conclusion

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