{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T09:17:38Z","timestamp":1790414258180,"version":"4.1.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>The aims of this study were to analyze a large national trauma database to determine the incidence of, risk factors for, and outcomes after a fasciotomy of the lower leg or forearm after fracture.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Data from the National Trauma Data Bank for the years 2004\u20132016 were analyzed, and we identified 301,351 patients with forearm fractures and 369,237 patients with tibial fractures. Risk factors, length of stay (LOS), and mortality were assessed to determine associations with an injury that required a fasciotomy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>A total of 1.22% of the forearm fractures and 3.79% of the tibial fractures had a fasciotomy. Patients with a fasciotomy were more likely to have invasive procedures (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.0001); have injuries resulting from machinery, motor vehicle collisions, and firearms (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.0001); and smoke, use drugs, and\/or alcohol (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05) compared with patients who did not undergo fasciotomies. Fasciotomy procedures were associated with longer LOS and higher mortality rate (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The incidence of a fasciotomy is less than 5% in tibia or forearm fractures. Patients who underwent fasciotomy have higher energy injuries, increased alcohol or drug use, higher rates of surgical interventions, and increased LOS. Furthermore, having a fasciotomy is associated with increased mortality rate. When counseling patients and evaluating surgeon\/hospital performance, fasciotomies can serve as an indicator and modifier for a more complex trauma pathology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001702","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T19:38:23Z","timestamp":1574105903000},"page":"e154-e158","source":"Crossref","is-referenced-by-count":16,"title":["The Incidence and Risk Factors Associated With the Need for Fasciotomy in Tibia and Forearm Fractures: An Analysis of the National Trauma Data Bank"],"prefix":"10.1097","volume":"34","author":[{"given":"Augustine M.","family":"Saiz","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Davis Medical Center, University of California, Sacramento, CA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandria C.","family":"Wellman","sequence":"additional","affiliation":[{"name":"School of Medicine, Southern Illinois University, Springfield, IL;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dustin","family":"Stwalley","sequence":"additional","affiliation":[{"name":"Department of Medicine, Washington University in St. Louis, St. Louis, MO; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Wolinsky","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Davis Medical Center, University of California, Sacramento, CA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna N.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","first-page":"18","article-title":"Acute compartment syndrome","volume":"5","author":"Via","year":"2015","journal-title":"Muscles Ligaments Tendons J."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"436","DOI":"10.5435\/00124635-200511000-00003","article-title":"Acute compartment syndrome in lower extremity musculoskeletal trauma","volume":"13","author":"Olson","year":"2005","journal-title":"J Am Acad Orthop Surg."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5435\/00124635-201101000-00006","article-title":"Acute compartment syndrome of the upper extremity","volume":"19","author":"Prasarn","year":"2011","journal-title":"J Am Acad Orthop Surg."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1302\/0301-620X.82B2 .9799","article-title":"Acute compartment syndrome. 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