{"id":11569,"date":"2025-04-30T23:46:14","date_gmt":"2025-04-30T21:46:14","guid":{"rendered":"https:\/\/cepco-ch-123278.hostingersite.com\/publications\/association-between-open-tibia-fractures-and-acute-compartment-syndrome-a-retrospective-cohort-study\/"},"modified":"2026-08-24T20:16:14","modified_gmt":"2026-08-24T18:16:14","slug":"association-between-open-tibia-fractures-and-acute-compartment-syndrome-a-retrospective-cohort-study","status":"publish","type":"publications","link":"https:\/\/cepco.ch\/fr\/publications\/association-between-open-tibia-fractures-and-acute-compartment-syndrome-a-retrospective-cohort-study\/","title":{"rendered":"Association between open tibia fractures and acute compartment syndrome: A retrospective cohort study"},"content":{"rendered":"\n<p><strong>Publication :<\/strong> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34929394\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orthop Traumatol Surg Res. 2022 Sep;108(5):103188. doi : 10.1016\/j.otsr.2021.103188. Epub 2021 Dec 17.  <\/a><\/p>\n\n<p><strong>Co-auteurs :<\/strong> Gamulin A, Wuarin L, Zingg M, Belinga P, <a href=\"https:\/\/cepco.ch\/biography-of-dr-gregory-cunningham\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cunningham G<\/a>, Gonzalez A.<\/p>\n\n<h2 class=\"wp-block-heading\">R\u00e9sum\u00e9 :<\/h2>\n\n<p><strong>Contexte : <\/strong>Les \u00e9tudes sur l&rsquo;association entre les fractures ouvertes du tibia et le syndrome des loges aigu\u00ebs (SCA) donnent des r\u00e9sultats confus, certains articles mettant en \u00e9vidence une association positive, d&rsquo;autres n&rsquo;y parvenant pas. L&rsquo;objectif de cette \u00e9tude \u00e9tait de d\u00e9terminer si une fracture ouverte du tibia pr\u00e9sente un risque accru de survenue d&rsquo;un SCA par rapport \u00e0 une fracture ferm\u00e9e. <\/p>\n\n<p><strong>Hypoth\u00e8se : <\/strong>Les l\u00e9sions cutan\u00e9es dans le cadre d&rsquo;une fracture ouverte du tibia n&#8217;emp\u00eachent pas la survenue d&rsquo;un SCA, car l&rsquo;\u00e9nergie transmise au membre lors du traumatisme peut entra\u00eener des l\u00e9sions des tissus mous, y compris des lac\u00e9rations cutan\u00e9es et un SCA.<\/p>\n\n<p><strong>Patients et m\u00e9thodes : <\/strong>Au total, 711 patients adultes cons\u00e9cutifs (\u00e2ge moyen 44,6 ans ; 65,8 % d&rsquo;hommes) ayant subi 725 fractures du tibia entre le 01.01.2005 et le 31.12.2009 ont \u00e9t\u00e9 inclus dans cette \u00e9tude r\u00e9trospective. Le crit\u00e8re de jugement \u00e9tait le SCA. Les variables suivantes ont \u00e9t\u00e9 \u00e9valu\u00e9es : \u00e9tat des tissus mous, \u00e2ge, sexe, l\u00e9sion \u00e0 basse ou haute \u00e9nergie, type de fracture, l\u00e9sion squelettique contigu\u00eb associ\u00e9e. Un mod\u00e8le de r\u00e9gression logistique a \u00e9t\u00e9 utilis\u00e9 et un ajustement a \u00e9t\u00e9 effectu\u00e9 pour l&rsquo;\u00e2ge et le sexe.   <\/p>\n\n<p><strong>R\u00e9sultats : <\/strong>Le SCA est survenu dans 10,4 % des fractures intra-articulaires proximales, 10,4 % des fractures extra-articulaires et 3,3 % des fractures intra-articulaires distales, ainsi que dans 8,7 % des fractures ferm\u00e9es, 7,8 % des fractures ouvertes de Gustilo 1 et 13,3 % des fractures ouvertes de Gustilo 2 et 3. Les l\u00e9sions ouvertes n&rsquo;\u00e9taient pas associ\u00e9es au SCA lorsque les fractures du tibia \u00e9taient consid\u00e9r\u00e9es dans leur ensemble. En stratifiant par types de fractures, les l\u00e9sions ouvertes de Gustilo 2 et 3 \u00e9taient associ\u00e9es au SCA dans les fractures intra-articulaires proximales (p=0,048). Il n&rsquo;y avait pas d&rsquo;association avec les l\u00e9sions ferm\u00e9es ou tout autre type de l\u00e9sions ouvertes pour les fractures extra-articulaires. Il n&rsquo;y avait pas assez de cas de SCA parmi les fractures intra-articulaires distales pour tirer des conclusions.    <\/p>\n\n<p><strong>Discussion : <\/strong>Comme le SCA peut survenir avec n&rsquo;importe quel type de fracture ouverte du tibia, les cliniciens ne devraient pas \u00eatre rassur\u00e9s \u00e0 tort par une fracture ouverte, en supposant que la plaie soulagerait la pression \u00e0 l&rsquo;int\u00e9rieur des compartiments musculaires. Il existe une faible association entre les l\u00e9sions ouvertes de Gustilo 2 et 3 et le SCA dans les fractures intra-articulaires proximales uniquement. Ces r\u00e9sultats sont importants pour les chirurgiens qui traitent ces blessures, en particulier chez les patients intub\u00e9s, s\u00e9dat\u00e9s ou obtus.  <\/p>\n\n<p><strong>Niveau de preuve : <\/strong>III ; \u00e9tude diagnostique r\u00e9trospective.<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"publication_categories":[151],"class_list":["post-11569","publications","type-publications","status-publish","hentry","publication_categories-publications-scientifiques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Association between open tibia fractures and acute compartment syndrome: A retrospective cohort study - CEPCO - Centre Epaule Coude<\/title>\n<meta name=\"description\" content=\"Medline Indexed (Pubmed) - Acute compartment syndrome; 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