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The use of Near-Infrared Spectroscopy to assist in the diagnosis of Compartment Syndrome in paediatrics

Not Applicable
Completed
Conditions
compartment syndrome
complications of fractures
Musculoskeletal - Other muscular and skeletal disorders
Registration Number
ACTRN12611000022965
Lead Sponsor
The Children's Hospital at Westmead
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
29
Inclusion Criteria

Grade 3 supracondylar fracture for group 1
Clinically suspected compartment syndrome for group 2

Exclusion Criteria

volar forearm skin damage preventing probe attachment
Jaundice

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Tissue oxygenation level[From time of operative fixation until hospital discharge in group 1, measured continuously at a 2 second sampling rate, for up to 48 hours or discharge.<br><br>At time of surgical intervention for fasciotomy for group 2, as a discrete measurement taken over 2 minutes at a 2 second sampling rate.]
Secondary Outcome Measures
NameTimeMethod
number of group 1 patients developing compartment syndrome. Clinical assessment, described before, is used to detect the development of compartment sydnrome. If suspected, muscle compartment pressures are measured usign an invasive device(Stryker pressure monitor), and fasciotomy is performed, at which time the muscle is directly inspected for colour, swelling and response to stimulation, allowing a definitive diagnosis of compartment syndrome to be made.[Continuous clinical observation for up to 48 hours post fixation or dischaege from hospital.]
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