METHODS OF PREVENTION OF A COMPARTMENT SYNDROME IN CLOSED LOCKABLE INTRAMEDULLARY OSTEOSYNTHESIS OF TIBIA
Compartment syndrome is a frequent complication in the performing a closed lockable intramedullary osteosynthesis of the tibia. Compartment syndrome is a condition caused by increasing of intracase pressure in closed cases of the shin. This condition leads for futher complications. Compartment syndrome is diagnosed by a clinical method for assessing the postoperative condition of the patient and the limb. We should also apply instrumental methods using a commercially available monitoring system for intracase pressure from Stryker, Pulselessness. We analyzed the results of treatment of 119 patients and found that 62 patients were diagnosed with compartment syndrome, the study was carried out in several stages. We want to purpose a method, that will decrease developing of compartment syndrom. That is called half-opened fasciotomy. Based on this, we intend to propose prophylactic fasciotomies, which have shown good results in preventing the compartment syndrome.