The Research About the ACS After Femoropopliteal Arterial Injuries

Study Overview
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Brief Summary
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Crural Compartment syndrome is a well-known sequela after femoropopliteal arterial injuries in the lower extremity, particularly when there has been a long period of ischemia,need for ligation of a major vein, or when there is severe associated soft tissue.There is conteoversy in the treatment.

Official Title
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ACS After Femoropopliteal Arterial Injuries

Conditions
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Acute Compartment Syndrome

Intervention / Treatment
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* Procedure: fasciotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with femoropopliteal arterial injuries patients older than 18 years Exclusion Criteria: Patients who did not survive to discharge Patients with primary amputation patients younger than 18 years

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients with fasciotomy<br> | Procedure: fasciotomy<br>* To perform fasciotomy<br>|
| patients without fasciotomy<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the rate of amputation |  | up to 6 months | 
| fasciotomy performed or not |  | up to 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the rate of primary skin closure |  | up to 1 months | 
| hospital lengths of stay |  | up to 6 months | 
| injury mechanism of patients |  | up to 1 week | 
| the costs of hospitalization |  | up to 2 months | 
| tourniquet used or not |  | up to 1 week | 
| the time of using tourniquet |  | up to 1 week | 
| the time to surgical intervention |  | up to 1 month | 
| extremity Abbreviated Injury Scale of patients | minimum is 1, maximum is 6, higher scores mean a worse outcome | up to 1 week | 
| Injury Severity Score of patients | minimum is 0, maximum is 75, higher scores mean a worse outcome | up to 1 week | 
| concomitant injury of patients |  | up to 1 week | 
| time of skin closure |  | up to 1 month | 
| admission hemoglobin of patients |  | up to 1 month | 
| admission pH of patients |  | up to 1 month | 
| admission lactate of patients |  | up to 1 month | 
| postoperative lactate of patients |  | up to 1 month | 
| admission International Normalized Ratio of patients |  | up to 1 month | 
| postoperative International Normalized Ratio of patients |  | up to 1 month | 
| admission CK of patients |  | up to 1 month | 
| postoperative CK of patients |  | up to 1 month | 
| admission LDH of patients |  | up to 1 month | 
| postoperative LDH of patients |  | up to 1 month | 
| Number of Participants with Lower Extremity Arteriosclerosis Obliterans |  | up to 1 week | 
| vascular repair technique of patients |  | up to 1 week | 
| Number of Participants with sepsis |  | up to 1 month | 
| Ischemia time of patients |  | up to 1 week | 
| Postoperative knee function of patients |  | up to 6 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ACS, femoropopliteal arterial injuries, fasciotomy