Spinal Anaesthesia Versus General Anaesthesia for Patients With Tibia Shaft Fractures—A Randomized Controlled Study
Primary result · Delta and compartment pressures, anterior tibial compartmentResult — go to the resultEstimated average effect (delta pressure) 6.4 mmHg CI 0.2–12.6Authors' conclusion
Spinal anaesthesia was not associated with higher compartment pressures compared to general anaesthesia.
Study context
- Population
- Patients with unilateral tibia shaft fractures treated with intramedullary nailing, tertiary hospital, 2011–2021
- Participants
- 50 patients
- Comparison
- Spinal anaesthesia vs General anaesthesia
- Primary endpoint
- Compartment and delta pressures in the anterior tibial muscle compartment
- Follow-up
- 24 h after surgery
Methodological detailssingle-centre
- Single-centre
Primary result
As reported in the abstract
Delta and compartment pressures, anterior tibial compartment
Estimated average effect (delta pressure)
6.4 mmHg
CI 0.2–12.6
P = 0.042
- Absolute compartment pressures comparable between groups (effect estimate)
- −0.9 mmHg [CI −6.7 to 5.0]; p = 0.77
Secondary outcomes
Compartment surface oxygenation (near-infrared spectroscopy), pain scores, median total opioid consumption · 24-h postoperative follow-up
- No statistical difference between groups
Safety
Events
| Outcome | Spinal anaesthesia | General anaesthesia |
|---|---|---|
| Acute compartment syndrome requiring fasciotomy | 0 | 3 |
Original publication
Spinal Anaesthesia Versus General Anaesthesia for Patients With Tibia Shaft Fractures—A Randomized Controlled Study. Acta Anaesthesiol Scand. Published 12 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →