Weakness of foot dorsiflexion and changes in compartment pressures after tibial osteotomy.
J Bone Joint Surg Br
; 68(3): 471-5, 1986 May.
Article
em En
| MEDLINE
| ID: mdl-3733817
Weakness of dorsiflexion of the foot is a common complication of proximal tibial osteotomy and it has been suggested that this may be caused by an anterior tibial compartment syndrome. A prospective study of 20 patients undergoing tibial osteotomy was undertaken, in which compartment pressures were recorded and related to clinical signs. In 10 of the patients, the operation site was drained, and in 10 no drainage was employed. The undrained group showed significant elevation (greater than 45 mmHg) of the anterior compartment pressure in seven patients, and five of these had transient clinical signs. Only one patient had any permanent deficit, a minor asymptomatic weakness of extensor hallucis longus. In the drained group the pressures remained below 30 mmHg in all except two patients, who both had only a minor pressure rise and no significant early clinical signs. However, two patients from this group later developed weakness of dorsiflexion, probably due to common peroneal nerve injury, the cause of which is not clear.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteotomia
/
Tíbia
/
Síndromes Compartimentais
/
Pé
/
Hipotonia Muscular
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Bone Joint Surg Br
Ano de publicação:
1986
Tipo de documento:
Article