Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board Of Health Specializations Orthopedic Surgery Final Clinical And Oral Examination Exam

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A 28-year-old male with a closed midshaft tibia fracture treated in a cast develops progressive, unremitting leg pain out of proportion to the injury. On physical examination, passive stretch of the great toe elicits excruciating pain. The anterior compartment pressure is measured at 48 mmHg, and his diastolic blood pressure is 72 mmHg (delta pressure 24 mmHg). What is the definitive treatment?

Elevation of the limb above the heart and administration of intravenous mannitol Immediate two-incision four-compartment fasciotomy of the leg Single lateral incision fasciotomy releasing only the anterior compartment Repeat compartment pressure measurement in 12 hours while maintaining cast immobilization

Correct Answer:

Immediate two-incision four-compartment fasciotomy of the leg

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