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Year : 2003  |  Volume : 37  |  Issue : 3  |  Page : 9

Role of corticosteroids in compartment syndrome

Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Correspondence Address:
S Hazra
Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University, Varanasi
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Source of Support: None, Conflict of Interest: None

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Compartment syndrome following trauma is an orthopaedic emergency and its sequalae are at times quite devastating. Early recognition, intra­compartmental pressure monitoring and prompt treatment is the best solution. Fasciotomy has been the mainstay of treatment, but many a times it is associated with a lot of morbidity. Effect of corticosterolds due to its potent edema reducing properties was studied in compartment syndrome. Thirty seven patients presenting with signs and symptoms of compartment syndrome following trauma to limbs, were randomly divided into 3 groups one of which received short term high dose corticosteroids and its effect on intracompartmental pressure, alleviation of signs and symptoms and functional results in follow up were studied. Patients who received corticosteroids showed a good response in the early phase and lesser complications in follow up.

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