Application of Revised Injury Severity Score in Lower Leg Fractures Patients with Osteofascial Compartment Syndrome
QIN Yu-zhou
TANG Yun-zhang
MENG Cheng-fei
CAI Xian-hua
CHEN Xiao-feng
WANG Zhi-xiang
Abstract：Objective To explore the range of severity degree in osteofascial compartment syndrome (OCS) after lower leg fractures.Methods Sixty lower leg fractures patients with OCS were collected from January 2012 to August 2016,retrospectively analyzed and quantitatively evaluated by revised injury severity score (RISS),meanwhile,the ranges of severity degree were discussed.Results The RISS were over 8 scores in all patients.Among them,the RISS of 12 patients with simple lower leg fractures were from 8 to 16 scores.Forty-eight multiple bone trauma patients,whose RISS were from 14 to 28 scores,were not only lower leg fractures but also other parts fracture or thoracoabdominal and craniocerebral injury.The OCS occurrence of lower leg were positively correlated with RISS (P＜0.01).Conclusion The OCS occurrence of lower leg is positively correlated with RISS.When RISS is higher than 8 in patients with simple lower leg fractures,or RISS is more than 14 in multiple bone trauma patients with lower leg fractures combined with other parts fracture or thoracoabdominal and craniocerebral injury,OCS easily become complicated.RISS should be used as an early focus for the lower leg OCS to improve the vigilance of clinicians and early use of appropriate precautions.
Keywords：Bone traumaLower legOsteofascial compartment syndromeRevised injury severity score
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 730-732 )