TITLE

Near-Infrared Spectroscopy in Lower Extremity Trauma

AUTHOR(S)
Shuler, Michael S.; Reisman, William M.; Whitesides Jr., Thomas E.; Kinsey, Tracy L.; Hammerberg, E. Mark; Davila, Maria G.; Moore, Thomas J.
PUB. DATE
June 2009
SOURCE
Journal of Bone & Joint Surgery, American Volume;Jun2009, Vol. 91-A Issue 6, p1360
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Near-infrared spectroscopy measures the percentage of hemoglobin oxygen saturation in the microcirculation of tissue up to 3cm below the skin. The purpose of this study was to describe the measurable response of normal tissue oxygenation in the leg after acute trauma with use of this technique. Methods: Twenty-six patients with acute unilateral tibial fractures and twenty-five uninjured volunteer control subjects were enrolled. Near-infrared spectroscopy measurements were obtained for both legs in all four compartments: anterior, lateral, deep posterior, and superficial posterior. The twenty-six injured legs were compared with twenty-five uninjured legs (randomly selected) of the volunteer control group, with the contralateral limb in each patient serving as an internal control. Results: The mean tissue oxygenation for each compartment in the injured legs was 69% (anterior), 70% (lateral), 74% (deep posterior), and 70% (superficial posterior). In the control (uninjured) legs, the average tissue oxygenation percentage in each compartment was 54%, 55%, 60%, and 57%, respectively. Repeated-measures analysis revealed that near-infrared spectroscopy values averaged 15.4 percentage points (95% confidence interval, 12.2 to 18.6 percentage points) higher for injured legs than for uninjured legs, controlling for the value of the contralateral limb (p < 0.0001). Conclusions: Tibial fracture produces a predictable increase in tissue oxygenation as measured by near-infrared spectroscopy. The corresponding compartment of the contralateral leg can provide strong utility as an internal control value when evaluating the hyperemic response to injury.
ACCESSION #
41543315

 

Related Articles

  • A case of complex inferior limb pain treated with intrathecal betamethasone and intravenous glycerin; importance of comprehensive pain evaluation. Nobuyasu Komasawa; Junichi Ikegaki // Anaesthesia, Pain & Intensive Care;Apr-Jun2014, Vol. 18 Issue 2, p216 

    The article presents a case study of a 63-year-old man who had undergone right colon resection for cecal cancer following chemotherapy and lung radiation therapy and ischial bone metastases. He was admitted to the palliative care unit due to the developed right lower limb pain with numbness...

  • The unreamed intramedullary tibial nail in tibial shaft fractures of soccer players: a prospective study. Fankhauser, Florian; Seibert, Franz J.; Boldin, Christian; Schatz, Bernd; Lamm, Bradley // Knee Surgery, Sports Traumatology, Arthroscopy;May2004, Vol. 12 Issue 3, p254 

    Lower leg fractures are common and complex injuries in soccer players. Twenty-five mainly recreational soccer players who sustained a tibial shaft fracture were treated with the AO-UTN (Unreamed Tibial Nail). This prospective series included 25 males with a mean age of 28.1 years. These patients...

  • Correction of post-traumatic lower limb deformities using the Taylor spatial frame. Ganger, Rudolf; Radler, Christof; Speigner, Bernhard; Grill, Franz // International Orthopaedics;Jun2010, Vol. 34 Issue 5, p723 

    Twenty-five post-traumatic leg length discrepancies combined with axial deviation in 22 patients were treated with the Taylor spatial frame. We retrospectively analysed the accuracy of correction, the complication rate and the clinical outcome including the duration of treatment. The cases were...

  • Can the use of radiography of arms and legs in accident and emergency units be made more efficient? Charny, M.C.; Ennis, W.P.; Roberts, C.J.; Evans, K.T. // British Medical Journal (Clinical Research Edition);1/31/1987, Vol. 294 Issue 6567, p291 

    Investigates the efficiency of the selection of patients with injured arms and legs for radiography in Great Britain. Clinical determinants of bone injury; Use of computer simulation techniques; Production of algorithm for improving the use of radiography of arms and legs.

  • Understanding variety of lower-leg stress fractures essential to proper treatment. Press, Robert // Orthopedics Today;Nov2009, Vol. 29 Issue 11, p32 

    This article discusses research being done on lower leg stress fractures.

  • Computerized analysis and modelling of patients with deformities of lower limbs. PAUK, JOLANTA // Acta of Bioengineering & Biomechanics;2009, Vol. 11 Issue 1, p47 

    The purpose of this paper was to model the human gait of typical subjects and patients with such deformities of lower limbs as: spastic diplegia cerebral palsy and spina bifida occulta. Model coefficients will lead to the development of a better computer system to support clinical...

  • Leg Club update. Gibson, Elaine // Wounds UK;Sep2011, Vol. 7 Issue 3, p110 

    No abstract available.

  • USE OF INERTIAL SENSORS IN LOWER-LIMB REHABILITATION DEVICE. DUMITRIU, Adrian; BARBU, Daniela Mariana // Annals of DAAAM & Proceedings;Jan2009, p1209 

    A novel lower-limb rehabilitation device equipped with suitable inertial sensors is presented, which enables training in the knee-link of a leg affected by strokes or injuries, in coordination with movements of the other, normal, leg. Both complex inertial sensor units as well as distributed...

  • Risk factors for pressure sores in adult patients with myelomeningocele -- a questionnaire-based study. Plaum, Pål-Erik; Riemer, Gunnar; Frøslie, Kathrine Frey // Cerebrospinal Fluid Research;2006, Vol. 3, p14 

    Background: Myelomeningocele (MMC) is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics