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Normal Leg Compartment Pressures in Adult Nigerians using the Whitesides Method

机译:使用Whitesides方法的成年尼日利亚成年人正常的腿部室压力

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摘要

In Caucasians, the range of normal intracompartmental pressure of the leg is from 0 mmHg to15 mmHg. In the literature, such measurements have not been done in Africa to identify normal leg intracompartmental pressures. We have sought to identify the normal range of pressures in such a population of Nigerians, and to demonstrate the reproducibility of the Whitesides injection technique with materials that are easily available in most hospitals so that compartment syndromes could be identified promptly and inexpensively in developing countries. We performed a 16-month hospital-based prospective study at Wesley Guild Hospital in Ilesa, Osun State, Nigeria, to measure the intracompartmental pressures in the anterior and deep posterior compartments of 49 contralateral uninjured legs of patients with closed contralateral tibial fractures, measured at presentation. The Whitesides infusion technique was used with the aim of determining the normal range of compartmental pressure in Nigerians. The anterior compartment pressures ranged from 3 mmHg to 18 mmHg with a mean 7.6 ± 2.6 mmHg. The pressure in the deep posterior compartment ranged from 3 mmHg to 14 mmHg with mean of 7.4 ± 2.7 mmHg. The values are similar to those reported in the literature. There was no statistically significant difference between the pressures in the two compartments (p = 0.668).
机译:在高加索人中,腿部正常的车厢内压力范围为0 mmHg至15 mmHg。在文献中,在非洲还没有进行过这种测量来确定正常的腿间室压。我们试图确定这种尼日利亚人口中正常的压力范围,并证明Whitesides注射技术具有可在大多数医院中容易获得的材料的可重复性,以便可以在发展中国家迅速,廉价地识别隔室综合征。我们在尼日利亚奥森州伊莱莎市的卫斯理公会医院进行了为期16个月的医院前瞻性研究,以测量闭合性对侧胫骨骨折患者的49条对侧未受伤腿的前室内和后室深处的房内压。介绍。使用Whitesides输注技术旨在确定尼日利亚人的正常室压范围。前房压力范围为3 mmHg至18 mmHg,平均压力为7.6±2.6 mmHg。后部深部室的压力范围为3 mmHg至14 mmHg,平均压力为7.4±2.7 mmHg。该值类似于文献报道的值。两个隔室之间的压力之间没有统计学上的显着差异(p = 0.668)。

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