الفهرس | Only 14 pages are availabe for public view |
Abstract Descriptive research design was utilized to conduct this study. This study was carried out in the trauma unit at Assiut University Hospital. The study sample consisted of all patients with lower limb fractures admitted to the trauma unit within 6 months period. The following tools were utilized for data collection; tool (I) ”Patient’s interview questionnaire sheet,” tool (II) ”Patients’ assessment for the presence of compartment syndrome”, tool (III)” Patients’ assessment of risk factors sheet”. The main findings of the present study were:- 1-Incidence of compartment syndrome among traumatic patients at Assiut University Hospital over six months was 15 patients out of 217 lower limb fractured patients (6.9%). 2-The majority of the studied patients were males (73.3%), their age ranged from more than thirty to less than fourty years, it was found that the highest percentages in the studied patients were illiterate, workers and live in rural area. Regarding to hospital stay, it was found that the highest percentages in the studied patients stayed in hospital for more than 3 weeks. 3-There was a highly statistically significant difference (p-value 0,001) between the studied patients before and after occurrence of compartment syndrome regarding temperature and pulse measurement and there was no statistical significant difference regarding respiration, systolic blood pressure & diastolic blood pressure before and after occurrence of compartment syndrome with a p-value of (0.966, 0.709 and 0.355) respectively. 4-Most of the studied patients were obese (60%). 5-The present study revealed that the majority of patients who developed compartment syndrome (80%) have no history of previous surgical operations and only (20%) had surgical operations, all of them (20%) were hemorrhoidectomy. 47 6-The present study revealed that the highest percentage of patients who developed compartment syndrome (73.3%) have had family history of diabetes and hypertension and (26.7%) of them had no family history of chronic diseases, mostly their parents. 7-High-energy injuries such as road traffic accident accounted for majority of the initial causes of fracture (especially involving motorbikes which was the common mean of transport for the studied patients, followed by fire arm injury then fall from< height. 8-Pain out of proportion of injury and paresthesia was present in all of the studied patients (100%) followed by paralysis (60%) representing more than half of the sample. 9-Nearly third of the sample were having tibial plateau fracture(33.3%), more than fifth of the sample having tibia and fibula fracture(26.7%), more than fifth of the sample having tibia, fibula and ankle(26.7%) and more than tenth having ankle fracture(13.3%). 10-Nearly half of the studied patients had compartment syndrome following fracture (46.7%) and a little more than half of the studied following crushing injury (53.3%). |