Genetics and Local Gene Expression in Lower Extremity Acute Traumatic Compartment Syndrome

Studying Genes in Muscle Pressure Condition

D
Dillon O'Neill

Primary Investigator

Enrolling By Invitation
18 years - 100 years
All
Phase N/A
5 participants needed
1 Location

Brief description of study

The purpose of this study is to evaluate both genotypic differences and differences in local gene expression in individuals who develop acute traumatic compartment syndrome relative to control patients with at-risk lower extremity fractures who do not develop compartment syndrome. We are participating in a portion of the larger University of Utah study to increase enrollment numbers. We have included the University of Utah study protocol for an overview of the larger study. IU site is exclusively involved in the Acute Injury Group, which specifically includes patients diagnosed with acute compartment syndrome.

THIS STUDY IS ENROLLING BY INVITATION ONLY -  The orthopedic trauma team conducts daily meetings to review patients under orthopedic care at Methodist Hospital. During these meetings, patients will be screened for potential study enrollment. Patients, or their legally authorized representatives (LAR), will be approached in a private hospital room anytime between their arrival and hospital discharge. Patients with a diagnosis of Compartment Syndrome must be treated quickly due to the emergent nature of the condition. Therefore, if time permits, the patient will be approached prior to surgery to discuss participation in the study. However, not all Compartment Syndrome patients may be able to consent prior to surgery because they will need treatment immediately.

Detailed description of study

A tissue sample will be collected from the tissue discarded during the standard of care surgery to address compartment syndrome. 

In addition to that, 10mL blood sample will be collected, which is not part of SOC and is for research purpose only. 

If the patient needs any additional surgeries, another discarded initial debridement tissue sample and blood sample will be taken.

Eligibility of study

You may be eligible for this study if you meet the following criteria:

  • Conditions: Acute Compartment Syndrome
  • Age: 18 years - 100 years
  • Gender: All

Inclusion Criteria

  • Patient 18+ years of age.
  • Patients with the clinical diagnosis of lower leg acute compartment syndrome secondary to tibial shaft or tibial plateau fracture or exertional compartment syndrome with planned surgical intervention.

The purpose of this study is to investigate the genetic differences and local gene expression in people who develop acute traumatic compartment syndrome. Compartment syndrome is a serious condition where increased pressure within a muscle compartment reduces blood flow, affecting tissue health. This study compares individuals with compartment syndrome to those with similar injuries who do not develop the condition.

Participants will have a tissue sample collected during their standard care surgery for compartment syndrome. Additionally, a small blood sample will be taken for research purposes. If more surgeries are needed, further tissue and blood samples will be collected.

  • Who can participate: Adults aged 18 and older with a diagnosis of lower leg acute compartment syndrome related to specific types of fractures or exertional compartment syndrome are eligible.
  • Study details: Participants will provide tissue samples from their surgery and blood samples for research.
Updated on 14 Oct 2025. Study ID: ORTHO-UU-GENE-EXPRESSION, 25103
Please visit our main page to search for other studies you may be interested in. If you need help finding a study or have any questions, please contact us at inhealth@iu.edu

Interested in the study?

This study is accepting only persons who receive care at a certain clinic or doctor or who are part of an invited group. Questions about this study can be directed to the study team listed in the description or contact your doctor to see if you are eligible.

Accepting Referrals by Invitation Only