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Journal articles on the topic 'Fasciotomy'

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Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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1

de Bruijn, Johan A., Aniek P. M. van Zantvoort, Henricus P. H. Hundscheid, Adwin R. Hoogeveen, Percy van Eerten, Joep A. W. Teijink, and Marc R. Scheltinga. "Comparison of 2 Fasciotomes for Treatment of Patients With Chronic Exertional Compartment Syndrome of the Anterior Leg." Orthopaedic Journal of Sports Medicine 9, no. 11 (November 1, 2021): 232596712110513. http://dx.doi.org/10.1177/23259671211051358.

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Background: Chronic exertional compartment syndrome (CECS) of the anterior leg compartment (ant-CECS) is frequently treated with a minimally invasive fasciotomy. Several operative techniques and operative devices exist, but none have been compared in a systematic and randomized manner. Purpose: To compare efficacy, safety, and postoperative pain of a novel operative device (FascioMax fasciotome) with a widely accepted device created by Due and Nordstrand (Due fasciotome) during a minimally invasive fasciotomy for ant-CECS. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Patients with bilateral isolated ant-CECS between October 2013 and April 2018 underwent a minimally invasive fasciotomy using the FascioMax fasciotome in 1 leg and the Due fasciotome in the contralateral leg in a single operative session. Symptom reduction at 3 to 6 months and >1 year, postoperative pain within the first 2 weeks, peri- and postoperative complications, and ability to regain sports were assessed using diaries, physical examination, and timed questionnaires. Results: Included in the study were 50 patients (66% female; median age, 22 years [range, 18-65 years]). No differences between the devices were found in terms of perioperative complications (both had none), minor postoperative complications including hematoma and superficial wound infection (overall complication rate: FascioMax, 8% vs Due, 6%), or reduction of CECS-associated symptoms at rest and during exercise. At long-term follow-up (>1 year), 82% of the patients were able to regain their desired type of sport, and 67% (33/49) were able to exercise at a level that was comparable with or higher than before their CECS-associated symptoms started. Conclusion: Both the FascioMax and the Due performed similarly in terms of efficacy, safety, and levels of pain within the first 2 weeks postoperatively. Registration: NL4274; Netherlands Trial Register.
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2

Dente, Christopher J., Amy D. Wyrzykowski, and David V. Feliciano. "Fasciotomy." Current Problems in Surgery 46, no. 10 (October 2009): 779–839. http://dx.doi.org/10.1067/j.cpsurg.2009.04.006.

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3

Gorodischer, Tomás, Gerardo Luis Gallucci, Pablo De Carli, and Jorge Guillermo Boretto. "Síndrome compartimental crónico del antebrazo tratado con fasciotomía mínimamente invasiva: reporte de un caso. [Chronic compartment syndrome of the forearm treated with minimally invasive fasciotomy: A case report]." Revista de la Asociación Argentina de Ortopedia y Traumatología 84, no. 2 (May 2, 2019): 143–48. http://dx.doi.org/10.15417/issn.1852-7434.2019.84.2.858.

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El síndrome compartimental crónico inducido por el ejercicio o el uso excesivo raramente afecta a los miembros superiores y se ha relacionado con actividades deportivas o laborales. Describimos un caso de un paciente con diagnóstico de síndrome compartimental crónico de antebrazo, de características poco habituales, tratado con fasciotomía mínimamente invasiva. Este síndrome debe sospecharse incluso en pacientes que no practiquen actividades de riesgo y que sufran dolor compartimental inespecífico. La fasciotomía con técnica mínimamente invasiva es una opción eficaz para curar este cuadro. ABSTRACTChronic exertional compartment syndrome (CECS) of the forearm is uncommon and has been described in association with sport and work-related activities. We describe the uncommon presentation of a patient with CECS of the forearm who was treated through a min-invasive fasciotomy. CECS of the forearm must be suspected in patients with compartmental pain even if they do not practice risk activities. Mini-invasive fasciotomy is an effective option for the treatment of this pathology.
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4

Brown, Paul W. "Fasciotomy wounds." Journal of the American College of Surgeons 198, no. 3 (March 2004): 498. http://dx.doi.org/10.1016/j.jamcollsurg.2003.11.011.

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5

Dente, Christopher J., David V. Feliciano, Grace S. Rozycki, Raymond A. Cava, Walter L. Ingram, Jeffrey P. Salomone, Jeffrey M. Nicholas, D. Kanakasundaram, and Joseph P. Ansley. "A Review of Upper Extremity Fasciotomies in a Level I Trauma Center." American Surgeon 70, no. 12 (December 2004): 1088–93. http://dx.doi.org/10.1177/000313480407001212.

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The purpose of this study was to review recent experience with upper extremity fasciotomy. This study is a retrospective review of injured patients undergoing fasciotomy in the upper extremity at an urban trauma center. Mechanisms of injury, indications for and timing of fasciotomy, role of compartment pressures, techniques of closure, amputation rate, and patient outcomes were collected. Over a 3-year period, 201 fasciotomies were performed in the extremities of 157 injured patients, including 37 in the upper extremities of 27 patients. The mechanisms of injury were penetrating trauma in 13 patients (10 GSW, three SW), blunt or crush in 9, and burns (4 electric, 1 flame) in 5. Vascular injuries and fractures were present in 15 (56%) and 9 (33%) patients, respectively. The decision to perform a fasciotomy was a clinical one in 21 patients (75%), and only 6 patients had compartment pressures measured (range, 40–87 mm Hg; mean, 52). Upper extremity fasciotomy was performed at a first operation in 24 patients, whereas only 3 patients had a delayed fasciotomy from 6 to 48 hours after injury. Two patients died on the first hospital day, and 5 others had an amputation of an upper extremity at a mean of 8 days (range 2 to 26) after injury; however, no amputation was due to the failure to perform a timely fasciotomy. In the remaining 20 patients, closure of the fasciotomy site was performed at a mean of 9 days (range, 2 to 22) after injury, most commonly by split thickness skin grafting. Hospital stay was a mean of 20 days (range, 7–35). We conclude that 1) upper extremity fasciotomy accounts for less than 20 per cent of all fasciotomies performed; 2) a clinical decision is the most common reason for performing upper extremity fasciotomy, and only 11 per cent of patients underwent a delayed fasciotomy in this review; 3) the need for upper extremity fasciotomy is associated with a length of stay longer than expected for overall injury severity.
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6

Bain, Mohd Asha'ari, Mohd Shaffid Md Shariff, Mohamad Hilmi Mohamad Nazarallah, Nur Dina Azman, and Abu 'Ubaidah Amir Norazmi. "Shoe-Lace Technique Hasten Delayed Primary Closure In Fasciotomy Wound For Forearm Compartment Syndrome." Malaysian Journal of Science Health & Technology 7, no. 2 (October 1, 2021): 76–78. http://dx.doi.org/10.33102/mjosht.v7i2.189.

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We report a case of acute compartment syndrome of the forearm in a 51-year-old man with open fracture distal third radius (Gustilo I). Decompressive fasciotomy was performed promptly. Complete progressive closure of the wound without split-thickness skin grafting was achieved using a shoe-lace technique: silastic vessel loop were interlaced held together with skin staplers placed at the edge of the fasciotomy wound and were then tightened daily. Delayed primary closure of the fasciotomy wound was performed after 8 days post fasciotomy with complete opposition of skin edges without tension. Shoelace closure is a good option for atraumatic fasciotomy wound closure with good cosmesis result.
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7

Barrett, Stephen Lloyd. "Endoscopic Plantar Fasciotomy." Techniques in Foot & Ankle Surgery 10, no. 2 (June 2011): 56–64. http://dx.doi.org/10.1097/btf.0b013e31821a2afb.

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8

Mandrekas, A. D. "Minimally invasive fasciotomy." Plastic & Reconstructive Surgery 100, no. 6 (November 1997): 1629. http://dx.doi.org/10.1097/00006534-199711000-00082.

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9

Leversedge, Fraser J., Patrick J. Casey, John G. Seiler, and John W. Xerogeanes. "Endoscopically Assisted Fasciotomy." American Journal of Sports Medicine 30, no. 2 (March 2002): 272–78. http://dx.doi.org/10.1177/03635465020300022101.

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10

Ko, Jason H., and Douglas P. Hanel. "Technique of Fasciotomy." Techniques in Orthopaedics 27, no. 1 (March 2012): 38–42. http://dx.doi.org/10.1097/bto.0b013e3182488404.

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11

Diwan, Amna. "Lower Leg Fasciotomy." Techniques in Orthopaedics 27, no. 1 (March 2012): 53–54. http://dx.doi.org/10.1097/bto.0b013e318249aad4.

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12

MAGINN, P., and D. ELLIOT. "Upper Arm Fasciotomy." Journal of Hand Surgery 21, no. 1 (February 1996): 59–62. http://dx.doi.org/10.1016/s0266-7681(96)80014-3.

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The incisions used for fasciotomy of the upper arm are re-appraised in the light of recent advances in the understanding of the vascular anatomy of the integument of the upper arm, and a new approach is described.
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13

Ernst, Calvin B. "Fasciotomy—in perspective." Journal of Vascular Surgery 9, no. 6 (June 1989): 829–30. http://dx.doi.org/10.1016/0741-5214(89)90095-5.

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14

Jauregui, Julio J., Samantha J. Yarmis, Justin Tsai, Kemjika O. Onuoha, Emmanuel Illical, and Carl B. Paulino. "Fasciotomy closure techniques." Journal of Orthopaedic Surgery 25, no. 1 (January 1, 2017): 230949901668472. http://dx.doi.org/10.1177/2309499016684724.

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We evaluated the risks and success rates of the three major techniques for compartment syndrome fasciotomy closure by reviewing all literature published to date. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we systematically evaluated the Medline (PubMed) database until July 2015, utilizing the Boolean search sting “compartment syndrome OR fasciotomy closure.” Two authors independently assessed all studies published in the literature to ensure validity of extracted data. The data was compiled into an electronic spreadsheet, and the wound closure rate with each technique was assessed utilizing a proportion random model effect. Success was defined as all wounds that could be closed without skin grafting, amputation, or death. The highest success rate was observed for dynamic dermatotraction and gradual suture approximation, whereas vacuum-assisted closure had the lowest complication rate.
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15

Tominaga, Akiko, Kozo Shimada, Ko Temporin, and Ryosuke Noguchi. "Post-Exertional MRI Is Useful as a Tool for Diagnosis and Treatment Evaluation for Chronic Exertional Compartment Syndrome of Forearms." Journal of Hand Surgery (Asian-Pacific Volume) 24, no. 03 (August 23, 2019): 311–16. http://dx.doi.org/10.1142/s2424835519500395.

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Background: Chronic exertional compartment syndrome (CECS) is a rare condition, which generally occurs in athletes. Few tools are available for diagnosis and treatment evaluation. We examined pre- and post- exertional forearm magnetic resonance imaging (MRI) before and after fasciotomy since 2013. The purpose of this study was to evaluate the efficacy of pre- and post-exertional MRI before and after fasciotomy. Methods: We treated 8 forearms of 5 patients diagnosed with CECS of the forearms since 2013, including 6 forearms of 3 motocross racers, 1 forearm of 1 baseball pitcher, 1 forearm of 1 manual laborer with a history of muscle contusion. We obtained pre- and post-exertional MRI before and after fasciotomy in all cases. Pre-exertional MRI was obtained when the patient was at rest without any symptom. Post-exertional MRI was obtained after the patients repeated “grip and release” using a hand gripper with maximum effort for approximately 10 minutes until symptoms occurred. We compared MRI findings before and after fasciotomy and evaluated the correlation with clinical outcome. Results: Symptoms disappeared completely in all 3 motocross racers after fasciotomy. MRI at rest showed no abnormal high signals in all cases both before and after fasciotomy. On post-exertional MRI, T2 high area presented mainly in flexor digitorum profundus (FDP) and brachioradialis (BR) and disappeared completely after surgery. Symptoms persisted in the pitcher and the laborer after fasciotomy. T2 high area presented mainly in FDP on post-exertional MRI before fasciotomy and remained on post-exertional MRI after fasciotomy in these two patients. These intensity changes correlated strongly with their symptoms. Conclusions: We performed pre- and post-exertional MRI before and after fasciotomy. The intensity change in T2-weighted images on post-exertional MRI correlated strongly with their symptoms. Post-exertional MRI is useful for diagnosis and treatment evaluation in CECS.
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Tweed, Jo L., Mike R. Barnes, Mike J. Allen, and Jackie A. Campbell. "Biomechanical Consequences of Total Plantar Fasciotomy." Journal of the American Podiatric Medical Association 99, no. 5 (September 1, 2009): 422–30. http://dx.doi.org/10.7547/0990422.

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Background: Plantar fascia release for chronic plantar fasciitis has provided excellent pain relief and rapid return to activities with few reported complications. Cadaveric studies have led to the identification of some potential postoperative problems, most commonly weakness of the medial longitudinal arch and pain in the lateral midfoot. Methods: An electronic search was conducted of the MEDLINE, ScienceDirect, SportDiscus, EMBASE, CINAHL, Cochrane, and AMED databases. The keywords used to search these databases were plantar fasciotomy and medial longitudinal arch. Articles published between 1976 and 2008 were identified. Results: Collectively, results of cadaveric studies suggested that plantar fasciotomy leads to loss of integrity of the medial longitudinal arch and that total plantar fasciotomy is more detrimental to foot structure than is partial fasciotomy. In vivo studies, although limited in number, concluded that although clinical outcomes were satisfactory, medial longitudinal arch height decreased and the center of pressure of the weightbearing foot was excessively medially deviated postoperatively. Conclusions: Plantar fasciotomy, in particular total plantar fasciotomy, may lead to loss of stability of the medial longitudinal arch and abnormalities in gait, in particular an excessively pronated foot. Further in vivo studies on the long-term biomechanical effects of plantar fasciotomy are required. (J Am Podiatr Med Assoc 99(5): 422–430, 2009)
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Nakagawa, Hirotaka F., Kyungje Sung, Soheil Ashkani-Esfahani, Gregory R. Waryasz, Tabitha May, and Walter Sussman. "Chronic Plantar Fasciitis: Comparison of Ultrasonic Guided Percutaneous Fasciotomy vs New Technique Combining Fasciotomy with Amniotic Membrane Allograft." Foot & Ankle Orthopaedics 7, no. 4 (October 2022): 2473011421S0083. http://dx.doi.org/10.1177/2473011421s00837.

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Category: Basic Sciences/Biologics Introduction/Purpose: Plantar fasciitis is a common condition affecting approximately one in ten people in their lifetime. Treatment is typically conservative and symptoms are self-limiting. Operative treatment is indicated in recalcitrant cases. Minimally-invasive partial plantar fasciotomy can be performed using ultrasound-guided percutaneous techniques and is an attractive alternative to traditional surgery. Methods: A retrospective review was performed on consecutive patients who underwent either an ultrasound-guided fasciotomy or a combined percutaneous fasciotomy with a flowable amniotic matrix allograft. All ultrasound-guided percutaneous fasciotomy procedures were performed using the Tenex TX2 cutting device. Human amniotic allograft consisted of an injection of 0.5 mL of a flowable placental tissue matrix. Outcomes were assessed at short-term (2, 8, and 16 weeks) and long-term follow-up (26 and 52 weeks). Results: Both groups demonstrated a significant reduction in pain from baseline after the respective interventions and demonstrated a high level of patient satisfaction. The only significant difference in the 2 groups was at short-term follow-up in which the percutaneous fasciotomy with the amniotic membrane allograft (n=12) showed a statistically-significant reduction (p<0.05) in pain when compared to the fasciotomy alone group (n=11). There was no difference between the 2 groups at long- term follow-up. Conclusion: Treatment of chronic plantar fasciitis using ultrasound-guided fasciotomy is an attractive alternative to traditional surgery. Ultrasound-guided fasciotomy did improve pain from baseline with high level of patient satisfaction. Furthermore, the combination of percutaneous fasciotomy with a flowable amniotic matrix allograft may provide a greater reduction in pain earlier in the post-operative period, but does not seem to alter the long-term outcome of the procedure. More subjects are needed to possibly detect long-term effects.
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18

Romagnoli, Anna N., Jonathan J. Morrison, Joseph J. DuBose, and David V. Feliciano. "Dichotomy in Fasciotomy: Practice Patterns Among Trauma/Acute Care Surgeons With Performing Fasciotomy With Peripheral Arterial Repair." American Surgeon 86, no. 8 (August 2020): 1010–14. http://dx.doi.org/10.1177/0003134820942138.

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Introduction Failure to perform adequate fasciotomy for a presumed or diagnosed compartment syndrome after revascularization of an acutely ischemic limb is a potential cause of preventable limb loss. When required, outcomes are best when fasciotomy is conducted with the initial vascular repair. Despite over 100 years of experience with fasciotomy, the actual indications for its performance among acute care and trauma surgeons performing vascular repairs are unclear. The hypothesis of this study was that there are many principles of fasciotomy that are uniformly accepted by surgeons and that consensus guidelines could be developed. Methods A 20-question survey on fasciotomy practice patterns was distributed to trauma and acute care surgeons of a major surgical society which had approved distribution. Results The response to the survey was 160/1066 (15 %). 92.5% of respondents were fellowship trained in trauma and acute care surgery, and 74.9% had been in practice for fewer than 10 years. Most respondents (71.9%) stated that they would be influenced to perform a preliminary fasciotomy (fasciotomy conducted prior to planned exploration and arterial repair) based upon specific signs and symptoms consistent with compartment syndrome—including massive swelling (55.6%), elevated compartment pressures (52.5%), delay in transfer >6 hours (47.5%), or obvious distal ischemia (33.1%). 20.6% responded that they would conduct exploration and repair first, regardless of these considerations. Prophylactic fasciotomies (fasciotomy without overt signs of compartment syndrome) would be performed by respondents in the setting of the tense compartment (87.5%), ischemic time >6 hours (88.1%), measurement of elevated compartment pressures (66.9%), and in the setting of large volume resuscitation requirements (31.3%). 69.4% of respondents selectively measure compartment pressures, with nearly three-fourths utilizing a Stryker needle device (72.5%). The most common sequence of repairs following superficial femoral artery injury with a >6-hour limb ischemia was cited as the initial insertion of a shunt, followed by fasciotomy, then vein harvest, and finally interposition repair. Conclusions While there is some general consensus on indications for fasciotomy, there is marked heterogeneity in surgeons’ opinions on the precise indications in selected scenarios. This is particularly surprising in light of the long history with fasciotomy in association with major arterial repairs and strongly suggests the need for a consensus conference and/or meta-analysis to guide further care.
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Bellamy, J. Taylor, Adam R. Boissonneault, Morgan E. Melquist, and Sameh A. Labib. "Release of the Tibialis Posterior Muscle Osseofascial Sheath Improves Results of Deep Exertional Compartment Syndrome Surgery: A Comparative Analysis and Long-term Results." Orthopaedic Journal of Sports Medicine 8, no. 8 (August 1, 2020): 232596712094275. http://dx.doi.org/10.1177/2325967120942752.

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Background: Success rates for surgical management of chronic exertional compartment syndrome (CECS) are historically lower with release of the deep posterior compartment compared with isolated anterolateral releases. At our institution, when a deep posterior compartment release is performed, we routinely examine for a separate posterior tibial muscle osseofascial sheath and release it if present. Purpose: Within the context of this surgical approach, the aim of the current study was to compare long-term patient satisfaction and activity levels in patients who underwent 2-compartment fasciotomy versus a modified 4-compartment fasciotomy for CECS. Study Design: Cohort study; Level of evidence, 3. Methods: Patients treated with fasciotomy for lower extremity CECS from 2007 to 2017 were retrospectively identified. In all patients in whom a 4-compartment fasciotomy was indicated, the tibialis posterior muscle was examined for a separate osseofascial sheath, which was released when present. Patients completed a series of validated patient-reported outcome (PRO) surveys, including the Marx activity score, Tegner activity score, 12-Item Short Form Health Survey, and Likert score for patient satisfaction. Results: Of the 48 patients who were included in this study, 34 (71%) patients with a total of 52 operative limbs responded and completed PRO surveys. The mean follow-up for the entire cohort was 5.5 ± 2.6 years. Of the 34 patients, 23 (68%) underwent 2-compartment fasciotomy and 11 (32%) underwent 4-compartment fasciotomy. Among the patients in the 4-compartment fasciotomy group, 7 (64%) were found to have a fifth compartment. No significant difference was found in any of the validated PRO measures between patients who had a 2- versus 4-compartment fasciotomy or those who underwent 4-compartment fasciotomy with or without a present fifth compartment. At a mean 5.5-year follow-up, 74% of patients who underwent a 2-compartment release reported good or excellent outcomes compared with 82% of patients who underwent our modified 4-compartment release. Conclusion: The current study, which included the longest follow-up on CECS patients in the literature, demonstrated that the addition of a release of the posterior tibial muscle fascia led to no significant difference in PRO measures between patients who underwent a 2- versus 4-compartment fasciotomy, when historically the 2-compartment fasciotomy group has had higher success rates.
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20

Maher, Jacqueline M., Emily M. Brook, Christopher Chiodo, Jeremy Smith, Eric M. Bluman, and Elizabeth G. Matzkin. "Patient-Reported Outcomes Following Fasciotomy for Chronic Exertional Compartment Syndrome." Foot & Ankle Specialist 11, no. 5 (June 22, 2018): 471–77. http://dx.doi.org/10.1177/1938640018783496.

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Background. Lower extremity chronic exertional compartment syndrome (CECS) can negatively affect exercise and activity and may require operative intervention to release the fascia. Few studies have evaluated or compared patient-reported outcomes for bilateral versus single-leg staged fasciotomy and number of compartments released. Methods. A total of 27 eligible patients who underwent a fasciotomy procedure for CECS at a single institution were identified. A retrospective review of the medical record was performed, and individuals were contacted by phone to collect patient-reported outcomes, including ability to return to desired exercise level, postoperative expectation assessment, European Quality of Life—Five Dimensions, and the Foot and Ankle Ability Measure sports subscale. Results. A total of 21 patients were available for follow-up (average follow-up 36.9 months). The average single numeric assessment evaluation of lower-extremity function in sport was 87.5% in those who underwent a simultaneous bilateral fasciotomy (n = 10), 94% in those who had a staged unilateral fasciotomy (n = 5), and 74% in those who underwent an isolated single-leg fasciotomy. In all, 91% (n = 10) of patients who had all 4 compartments released intra-operatively were able to return to their desired exercise level versus 66.7% (n = 6) of those who did not have all 4 compartments released. Conclusion. The patient-reported outcomes of a staged unilateral fasciotomy and simultaneous bilateral fasciotomy for CECS are similar. Those who did not have all 4 compartments released reported worse outcomes. Further research should be conducted on the short-term outcomes and cost-effectiveness of a bilateral versus staged fasciotomy procedure. Levels of Evidence: Level IV: Case series
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Salzler, Matthew, Kathleen Maguire, Benton E. Heyworth, Adam Y. Nasreddine, Lyle J. Micheli, and Mininder S. Kocher. "Outcomes of Surgically Treated Chronic Exertional Compartment Syndrome in Runners." Sports Health: A Multidisciplinary Approach 12, no. 3 (March 12, 2020): 304–9. http://dx.doi.org/10.1177/1941738120907897.

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Background: Chronic exertional compartment syndrome (CECS) is primarily seen in running athletes. Previous outcomes of surgical treatment with fasciotomy have suggested moderate pain relief, but evidence is lacking regarding postoperative return to running. Hypothesis: Running athletes with limiting symptoms of CECS will show high rates of return to running after fasciotomy. Study Design: Case series. Level of Evidence: Level 4. Methods: Running athletes treated with fasciotomy for CECS at a single institution were identified using a surgical database and asked to complete a questionnaire designed to assess postoperative pain, activity level, return to running, running distances, overall satisfaction, and rate of revision fasciotomy. Results: A total of 43 runners met the inclusion criteria, and 32 runners completed outcomes questionnaires at a mean postoperative follow-up of 66 months. In total, 27 of these 32 patients (84%) returned to sport(s) after fasciotomy. However, 9 (28%) of these patients pursued nonrunning sports, 5 (16%) due to recurrent pain with running. Of the 18 patients who returned to running sports (56%), the mean weekly running distance decreased postoperatively. Recurrence of symptoms was reported in 6 patients (19%), 4 of whom had returned to running and 2 of whom had been unable to return to sports. All of these 6 patients elected to undergo revision fasciotomy surgery. Twenty-five (78.1%) patients reported being satisfied with their procedure. In the overall cohort, the mean visual analog scale scores for pain during activities/sports decreased from 7.9 preoperatively to 1.7 postoperatively. Conclusion: Fasciotomy for CECS in runners may provide significant improvement in pain and satisfaction in over three-quarters of patients and return to sports in 84% of patients. However, only 56% returned to competitive running activity, with a subset (19%) developing recurrent symptoms resulting in revision surgery. Clinical Relevance: Fasciotomy has been shown to decrease pain in most patients with CECS. This study provides outcomes in running athletes after fasciotomy for CECS with regard to return to sports, maintenance of sports performance, and rates of revision surgery.
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Huyer, Rodrigo Guimarães, Cíntia Kelly Bittar, Carlos Daniel Candido de Castro Filho, Carlos Augusto Mattos, Mário Sérgio Paulillo De Cillo, and João Henrique Tavares Ribeiro. "Outcomes of plantar fasciotomy to treat plantar fasciitis." Scientific Journal of the Foot & Ankle 13, no. 1 (March 31, 2019): 42–48. http://dx.doi.org/10.30795/scijfootankle.2019.v13.899.

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Objective: This study sought to evaluate the effectiveness of a surgery (plantar fasciotomy) to treat plantar fasciitis using the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire. Methods: Patients were retrospectively identified using their postoperative orthopedic (medical) records after receiving medial plantar fasciotomy for plantar fasciitis between 1997 and 2009. Results: A significant difference was observed between the pre- and postoperative AOFAS score; this result indicates that patient health improved after the fasciotomy to treat plantar fasciitis. Conclusions: A strength of this study was its long follow-up time of patients undergoing plantar fasciotomy to treat plantar fasciitis. This surgery is indicated for patients with chronic plantar fasciitis after 6 months without response to conservative treatment. Level of Evidence IV; Therapeutic Studies; Case Series.
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Eid, Abdelsalam, and Mohamed Elsoufy. "Shoelace Wound Closure for the Management of Fracture-Related Fasciotomy Wounds." ISRN Orthopedics 2012 (September 19, 2012): 1–6. http://dx.doi.org/10.5402/2012/528382.

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Background. Compartment syndrome is a serious complication that might occur following fractures. The treatment of choice is emergent fasciotomy of all the involved muscle compartments to lower the compartment pressure. The classic management of fasciotomy wounds was split thickness skin graft. Patients and Methods. Seventeen patients with fracture-related compartment syndrome were managed by fasciotomy in the Orthopaedic Casualty Unit of our university hospital. The fractures included four femoral fractures and 13 fractures of the tibia and fibula. Results. All fasciotomy wounds healed eventually. Wound closure occurred from the corners inward. The skin closure was obtained at an overall average of 4.2 tightening sessions (range 3–7). Fracture healing occurred at an average of 15.4 weeks (range 12 to 22 weeks). No major complications were encountered in this series. Conclusion. Closure of fasciotomy wounds by dermatotraction could be performed in a staged fashion, using inexpensive equipment readily available in any standard operating room, until skin was approximated enough to heal either through delayed primary closure or secondary healing.
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CALLANAN, I., and A. MACEY. "Closure of Fasciotomy Wounds." Journal of Hand Surgery 22, no. 2 (April 1997): 264–65. http://dx.doi.org/10.1016/s0266-7681(97)80078-2.

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The closure of fasciotomy wounds creates problems for patient and surgeon alike. Split thickness skin grafting results in unsightly and insensate wounds and often requires general anaesthesia and prolonged inpatient care. We describe an improvement of a previously reported technique which is as effective as proprietary medical devices currently available. The technique may also be applied to the delayed primary closure of traumatic wounds.
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Ernst, Calvin B. "Fasciotomy[mdash ]in perspective." Journal of Vascular Surgery 9, no. 6 (June 1989): 0829–30. http://dx.doi.org/10.1067/mva.1989.vs0090829.

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Lund, J., T. Peredy, and A. Aleguas. "Compartment pressures requiring fasciotomy." Toxicon 182 (July 2020): S18. http://dx.doi.org/10.1016/j.toxicon.2020.04.046.

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Saeed, Kazi Muhammad, Raza Elahi Rana, Faisal Masood, and Syed Faraz ul Hassan Shah Gillani. "Dermotraction as a Simple and Effective Technique for Fasciotomy Wound Closure." Annals of King Edward Medical University 24, S (October 25, 2018): 884–88. http://dx.doi.org/10.21649/akemu.v24is.2575.

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Background| Fasciotomy is the best treatment option of acute compartment syndrome, but it results into large wounds which are difficult to manage. Different techniques have been utilized to manage the fasciotomy wounds which have their respective merits and demerits. This study was conducted to evaluate yet another novel technique which requires skin stapler and Prolene #1 sutures. Methods| This descriptive cases series was done using non-probability convenient sampling technique from January 2015 and June 2017 at Department of Orthopedics Surgery, King Edward Medical University / Mayo Hospital, Lahore. We included 24 fasciotomy wounds. They were managed with Dermotraction technique. We excluded patients with vascular injury. All wounds were successfully closed within an average time of seven days. The procedure was found to be cost effective, easy to execute and with minimal complications. Results| Amongst the total 13 patients, all were males of age ranging from 14 to 45year with mean age of 28.46±9.97. Majority, 10 patients (77 %) had acute compartment syndrome of leg and each patient managed with two fasciotomy wounds (N= 20). All fasciotomy wounds were closed with serial traction technique and the average time of closure was 07 days ranging from 3 days to 17 days 8.61±2.63. Conclusion| We concluded from the study that dermotraction technique has good outcome in fasciotomy wound closer and healing and it is a cost effective.
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Stone, PA, and LP McClure. "Retrospective review of endoscopic plantar fasciotomy. 1994 through 1997." Journal of the American Podiatric Medical Association 89, no. 2 (February 1, 1999): 89–93. http://dx.doi.org/10.7547/87507315-89-2-89.

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In the September 1996 issue of the Journal of the American Podiatric Medical Association, the authors published a retrospective review of their experiences with and results of plantar fasciotomy from 1992 through 1994. Since then, patients who underwent endoscopic plantar fasciotomy from 1994 through 1997 have been reviewed by utilizing materials and methods identical to those used in the original study. This article provides an update of the results of endoscopic plantar fasciotomy and compares them with the results described in the 1996 study.
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Wesslén, Charlotte, and Carl-Magnus Wahlgren. "Contemporary Management and Outcome After Lower Extremity Fasciotomy in Non-Trauma-Related Vascular Surgery." Vascular and Endovascular Surgery 52, no. 7 (May 1, 2018): 493–97. http://dx.doi.org/10.1177/1538574418773503.

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Introduction: Acute compartment syndrome (ACS) is a challenging and recognized complication to vascular surgery revascularization. The aim of this study was to investigate the current epidemiology, management, and early outcomes of fasciotomy in vascular surgery. Methods: Retrospective cohort study of all patients undergoing lower extremity fasciotomy at a single university center between January 2008 and December 2014. Patient demographics, operative techniques, and outcomes were analyzed. Results: The cohort (n = 113 limbs; 107 patients; 48% women; mean age was 74 (12) years [range, 50-97 years]) included 81 (72%) limbs undergoing revascularization for acute limb ischemia, 7 (6.2%) limbs related to acute aortic disease, and 23 (20%) limbs undergoing elective vascular surgery. Five patients underwent bilateral lower extremity fasciotomy. In all, 64 (57%) limbs had signs of ACS and underwent a therapeutic fasciotomy, while 49 (43%) fasciotomies were prophylactic. There were 20 (18%) fasciotomies performed after endovascular interventions. A 4-compartment fasciotomy was performed in 82% (n = 93) of limbs with a double incision technique. Split thickness skin graft was required in 11% (12/112) and vacuum-assisted closure treatment in 11% (12/111). The mean length of stay in hospital was 11 (9) days. Most common complication was lower extremity nerve deficit 32% (33/104) followed by wound infection 30% (32/108). At 30-day follow-up, amputation rate was 13% (14/107 limbs) and mortality 23% (25/107 patients). In the multivariate logistic regression analysis, prophylactic fasciotomy was associated with amputation (odds ratio: 28.9; 95% confidence interval: 1.96-425; P = .014). Conclusion: Acute compartment syndrome is primarily related to acute ischemic conditions but occurs after both aortic or elective vascular procedures and endovascular treatments. There are significant complications related to lower extremity fasciotomy in vascular surgery.
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Roscoe, David, A. J. Roberts, D. Hulse, A. F. Shaheen, M. P. Hughes, and A. N. Bennet. "Effects of anterior compartment fasciotomy on intramuscular compartment pressure in patients with chronic exertional compartment syndrome." Journal of the Royal Army Medical Corps 164, no. 5 (April 24, 2018): 338–42. http://dx.doi.org/10.1136/jramc-2017-000895.

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BackgroundPatients with chronic exertional compartment syndrome (CECS) have pain during exercise that usually subsides at rest. Diagnosis is usually confirmed by measurement of intramuscular compartment pressure (IMCP) following exclusion of other possible causes. Management usually requires fasciotomy but reported outcomes vary widely. There is little evidence of the effectiveness of fasciotomy on IMCP. Testing is rarely repeated postoperatively and reported follow-up is poor. Improved diagnostic criteria based on preselection and IMCP levels during dynamic exercise testing have recently been reported.Objectives(1) To compare IMCP in three groups, one with classical symptoms and no treatment and the other with symptoms of CECS who have been treated with fasciotomy and an asymptomatic control group. (2) Establish if differences in IMCP in these groups as a result of fasciotomy relate to functional and symptomatic improvement.MethodsTwenty subjects with symptoms of CECS of the anterior compartment, 20 asymptomatic controls and 20 patients who had undergone fasciotomy for CECS were compared. All other possible diagnoses were excluded using rigorous inclusion criteria and MRI. Dynamic IMCP was measured using an electronic catheter wire before, during and after participants exercised on a treadmill during a standardised 15 min exercise challenge. Statistical analysis included t-tests and analysis of variance.ResultsFasciotomy results in reduced IMCP at all time points during a standardised exercise protocol compared with preoperative cases. In subjects responding to fasciotomy, there is a significant reduction in IMCP below that of preoperative groups (P<0.001). Postoperative responders to fasciotomy have no significant differences in IMCP from asymptomatic controls (P=0.182).ConclusionFasciotomy reduces IMCP in all patients. Larger studies are required to confirm that the reduction in IMCP accounts for differences in functional outcomes and pain reductions seen in postoperative patients with CECS.
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Christenson, J. T., C. Prins, and G. Gemayel. "Subcutaneous fasciotomy and eradication of superficial venous reflux for chronic and recurrent venous ulcers: mid-term results." Phlebology: The Journal of Venous Disease 26, no. 5 (March 21, 2011): 197–202. http://dx.doi.org/10.1258/phleb.2010.010026.

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Objective Increased intramuscular and subcutaneous tissue pressures are often found in patients with severe chronic venous insufficiency venous ulcer disease. Additional subcutaneous para-tibial fasciotomy promotes early ulcer healing. This study evaluates the mid-term effect of eradication of superficial reflux with additional fasciotomy in patients with increased tissue pressures. Method Between January 2006 and June 2009, 58 patients underwent fasciotomy. Tissue pressures (intramuscular and subcutaneous) were measured. Sixty-nine limbs with 91 venous ulcers were treated. Mean duration of the venous ulcer was 3.4 years. Underlying disease was post-thrombotic syndrome (PT) in 19 patients (33%, 24 limbs, 27 ulcers) and non-post-thrombotic (non-PT) severe chronic venous insufficiency in 39 (67%, 45 limbs, 64 ulcers). All patients were C6 at the time of surgery. Preoperative tissue pressures were 23.5 ± 6.1 mmHg (intramuscularly) and 9.8 ± 3.2 mmHg (subcutaneously). Results Ninety ulcers (99%) healed postoperatively (42 with and 48 without skin grafting). Tissue pressures significantly decreased following surgery and remained low at three months postoperatively. Ten ulcers in six patients recurred six to 20 months postoperatively (11%), resulting in 86.4 actuarial freedom from venous ulcer recurrence at three years following surgery. Four patients (1 non-PT and 3 PT) had re-fasciotomy; all healed initially but two ulcers (2 patients, PT) recurred at 11 and 12 months. Those patients underwent re-fasciotomy, one healed and one recurred six months later. Conclusion Eradication of superficial reflux with additional subcutaneous fasciotomy for chronic and recurrent venous ulcer improves ulcer healing or success of skin grafting. Mid-term results are excellent particularly in patients with non-PT disease. Recurrence is more frequently seen in patients with PT syndrome. In patients with ulcer recurrence and high tissue pressures, re-fasciotomy can be helpful to promote healing, particularly in patients with primary venous disease.
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H. D., Hareesh, Thrishuli P. B., and Girish Kumar N. M. "Comparative study of delayed primary closure by shoelace technique versus conventional secondary suturing method in closure of fasciotomy wounds, done for spreading cellulitis with compartment syndrome." International Surgery Journal 7, no. 2 (January 27, 2020): 471. http://dx.doi.org/10.18203/2349-2902.isj20200300.

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Background: Fasciotomy is a standard treatment for acute compartment syndrome. Historically, fasciotomy incisions were usually left open till oedema settles down. In literature, there is a wide range of wound closure techniques published, but none of them is deemed to be the best. In this study, focus is laid on whether delayed primary closure (DPC) by shoelace technique, is as effective as conventional secondary suturing, in closure of fasciotomy wounds, done for spreading cellulitis.Methods: All those patients who met below mentioned inclusion criteria and underwent fasciotomy, were allocated into 2 groups (A and B) where Group A consists of 30 patients undergoing conventional secondary suturing, whereas Group B consists of 30 patients undergoing DPC by shoelace technique for closure of fasciotomy wounds. Parameters such as duration of hospital stay, time taken for complete wound closure, local wound complications, hospital expenses, anaesthesia related complications between the two groups were compared.Results: Patients who underwent DPC for fasciotomy wound closure achieved wound closure ~7 days earlier with 5 days lesser hospital stay than that of those who underwent conventional secondary suturing. Average health care cost of Group B was significantly lower compared to Group A, but there was no statistically significant difference in incidence of wound infections between the two groups.Conclusions: DPC by shoelace technique, takes less time for wound closure and hence the need for nursing care and hospital stay is significantly reduced in comparison to the conventional secondary suturing method.
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Strömberg, J., P. Vanek, J. Fridén, and Y. Aurell. "Ultrasonographic examination of the ruptured cord after collagenase treatment or needle fasciotomy for Dupuytren’s contracture." Journal of Hand Surgery (European Volume) 42, no. 7 (June 6, 2017): 683–88. http://dx.doi.org/10.1177/1753193417711594.

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Local treatment of Dupuytren’s contracture, either by collagenase or needle fasciotomy, allows disruption of the pathological cord during forced extension. The purpose of this study was to investigate the cord before and after both treatments by ultrasound. A total of 39 patients with a minimum of 20° contracture in the metacarpophalangeal joint were included and randomized to treatment with either collagenase (20 patients) or needle fasciotomy (19 patients). The distance between the distal and the proximal parts of the ruptured cord was measured by ultrasound and the difference in passive joint movement before and after treatment was measured with a goniomenter. There were no significant differences between the collagenase and needle fasciotomy groups in the size of the rupture or gain of mobility. Most cords treated with collagenase and subsequent forced extension had the same ultrasonographic appearance as cords disrupted mechanically by needle fasciotomy. Level of evidence: III
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Agrawal, Neeraj K., Preeti Agrawal, and Rahul Dubepuria. "Structural anatomy of deep fascia, it’s implication in the pathogenesis of compartment syndrome of upper limbs and objective assessment of the effect of fasciotomy." International Surgery Journal 7, no. 10 (September 23, 2020): 3374. http://dx.doi.org/10.18203/2349-2902.isj20204140.

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Background: Deep fascia is dense and well developed in limbs. In the upper limb the deep fascia is tightly adherent to the underlying muscles especially in the forearm, thereby, restricting the space available to muscular swelling causing painful compartment syndrome. Division of this inelastic fascia or fasciotomy is an emergency procedure to decrease the morbidity and mortality.Methods: 30 patients with acute compartment syndrome of the upper extremity of various aetiologies were studied. Adults with painful, swollen and tense upper extremities with progressive neurological dysfunction were studied. Compartment pressures before and after fasciotomy were measured by a standard Whiteside’s device. Various fasciotomies were carried out and associated skeletal and vascular injuries were also noted.Results: The majority of patients were males with average age being 29.33 years. 56.67% patients with upper limb compartment syndrome sustained road traffic injury, 20% were constrictive tight cast, 20% of patients sustained burn and 1 patient was shot by bullet. Of the 30 patients fractures of both ulna and radius (40%) were the most common. Fractures of the humerus, radius, ulna and small bone of metacarpals together account for 36.67% of the affected patients. 3 patients were found to have injury to major vessels. Compartment pressure was measured by Whiteside’s device and fasciotomy resulted in a drastic drop of the pressure from pre-fasciotomy pressure of 44.8±7.9 mmHg to post-fasciotomy pressure of 12.33±3.61 mmHg.Conclusions: The diagnosis of compartment syndrome should be confirmed swiftly and prompt fasciotomy is the treatment of choice. This offers the best chance at decreasing compartment pressure and preventing further damage.
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Lim, K. B. L., T. Laine, J. Y. Chooi, W. K. Lye, B. J. Y. Lee, and U. G. Narayanan. "Early morbidity associated with fasciotomies for acute compartment syndrome in children." Journal of Children's Orthopaedics 12, no. 5 (October 2018): 480–87. http://dx.doi.org/10.1302/1863-2548.12.180049.

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Purpose Acute compartment syndrome (ACS) requires urgent fasciotomy to decompress the relevant muscle compartment/s prior to onset of irreversible myonecrosis and nerve injury. A fasciotomy is not a benign procedure. This study aims to describe and quantify early morbidity directly associated with fasciotomies for ACS in children. Methods Clinical charts of 104 children who underwent 112 fasciotomies over a 13-year period at a tertiary children’s hospital were reviewed. The following were analyzed: ACS aetiology, fasciotomy site, number of subsequent procedures, method of wound closure, short-term complications and length of hospital stay. Results Short-term complications included wound infections (6.7%) and the need for blood transfusion (7.7%). Median number of additional operations for wound closure was two (0 to 10) and median inpatient stay was 12 days (3 to 63; SD 11.7). After three unsuccessful attempts at primary closure, likelihood of needing skin grafting for coverage exceeded 80%. Analyses showed that fasciotomy-wound infections were associated with higher risk for four or more closure procedures. Number of procedures required for wound closure correlated with longer inpatient stay as did ACS associated with non-orthopaedic causes. Conclusion Fasciotomy is associated with significant early morbidity, the need for multiple closure operations, and prolonged hospital stay. The decision for fasciotomy needs careful consideration to avoid unnecessary fasciotomies, without increasing the risk of permanent injury from missed or delayed diagnosis. Skin grafting should be considered after three unsuccessful closure attempts. Less invasive tests or continuous monitoring (for high-risk patients) for compartment syndrome may help reduce unnecessary fasciotomies. Level of Evidence Level IV, Case series
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Giri, Kadek Gede Bakta, Made Bramantya Karna, Anak Agung Gde Yuda Asmara, and Putu Feryawan Meregawa. "Limited fasciotomy in dupuytren contracture: a case report." International Journal of Research in Medical Sciences 8, no. 12 (November 27, 2020): 4499. http://dx.doi.org/10.18203/2320-6012.ijrms20205332.

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Dupuytren's disease is a benign fibroproliferative disorder usually isolated affects the palmar fascia. The condition usually has a progressive course, from the appearance of a nodule, to the formation of a fibrous cord which pulls the finger in a flexion posture. Management from dupuytren's disease has developed, from conservatifly, surgery, and minimal invasive. One of the conventional treatments that can be done is fasciotomy. A man, 72 years old, an Australian patient with Dupuytren's disease that affects his 4th MCP joint. From the history it was found that the complaint had been felt since 8 years ago. Patients were do limited fasciotomy and get recovered his hand function with good result. Dupuytren's disease is a disorder of the palmar and digital fascia that can decrease the function of patient hands. Many therapies have been developed for the treatment of this disease. From conventional treatments such as fasciotomy, to minimal invasive such as the injection of clostridium histolyticum collagenase. All of these therapies give different results and side effects. We would like to say that conventional management, especially limited fasciotomy, is still a good choice in view of the return of hand function and the minimum side effects. Limited fasciotomy gives good results, fast recovery of hand function, with minimal side effects.
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Crean, S. M., R. A. Gerber, M. P. Hellio Le Graverand, D. M. Boyd, and J. C. Cappelleri. "The efficacy and safety of fasciectomy and fasciotomy for Dupuytren’s contracture in European patients: a structured review of published studies." Journal of Hand Surgery (European Volume) 36, no. 5 (March 7, 2011): 396–407. http://dx.doi.org/10.1177/1753193410397971.

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A structured review of published papers was done to assess the efficacy and safety of fasciectomy and fasciotomy in European patients with Dupuytren’s contracture. The outcomes varied across 48 studies. For fasciectomy, outcomes and results were as follows: the proportions of patients with a 100% correction in contracture angle ranged from 61 to 97%, the mean improvement in contracture angle ranged from 58 to 79%, and cases judged excellent/good ranged from 63 to 90%. Fasciotomy had similar outcomes, with a mean improvement in contracture angle ranging from 46 to 88%. Immediate failures upon recovery were reported for both procedures. The average recurrence rates were 39% after a fasciectomy and 62% after a fasciotomy at a median time of about 4 years. Overall, about 20% of fasciectomy and fasciotomy patients experienced an adverse event. In summary, postoperative outcomes were successful, but surgical complications were common and recurrence of a contracture was likely within a few years.
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Matthews, Michael, Erin Klein, Zachary Hulst, Neathie Patel, Lowell Weil, Matthew Sorensen, and Adam Fleischer. "Comparison of Calcaneal Subchondral Injection of Calcium Phosphate and Plantar Fasciotomy vs Plantar Fasciotomy Alone for Refractory Infracalcaneal Heel Pain." Foot & Ankle Orthopaedics 6, no. 4 (October 2021): 247301142110505. http://dx.doi.org/10.1177/24730114211050568.

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Background: Treatment of chronic refractory heel pain has evolved to consider calcaneal structural fatigue as a component of the symptom profile. While concomitant calcium phosphate injection has become a method of addressing the accompanying calcaneal bone marrow edema (BME) frequently seen in this population, there is no literature supporting its use compared to traditional fasciotomy. Methods: Consecutive patients with symptoms of refractory infracalcaneal heel pain and calcaneal BME were treated in our practice by either surgical fasciotomy (n = 33) or fasciotomy plus calcium phosphate injection (n = 31) between 2014 and 2019. Outcomes were retrospectively assessed via Foot and Ankle Outcome Scores (FAOS), return to activity, and complication rate. Results: Sixty-four patients (64 feet) were included with a mean age of 50.3 ± 12.9 years and mean follow-up of 23.2 ± 22.3 months. No differences were observed between groups preoperatively. Significant improvements in 4 of 5 FAOS subscales were observed postoperatively in both groups ( P < .05 for all, paired t test). However, patients undergoing concomitant calcium phosphate injection reported significantly better scores for both activities of daily living (ADL; mean difference +10.2; 95% confidence interval [CI] 0.07-20.2) and foot-specific QOL (mean difference +21.9, 95% CI 7.0-36.6) at final follow-up compared with those undergoing plantar fasciotomy alone. All patients returned to their desired level of activity, and the frequency of complications did not differ between groups ( P > .05, Fisher exact test). Conclusion: In patients presenting with recalcitrant infracalcaneal heel pain accompanied by calcaneal BME, calcium phosphate injection into the calcaneus, when combined with plantar fasciotomy, was safe and more effective than traditional plantar fasciotomy alone. Level of Evidence: Level III, retrospective comparative study.
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de Bruijn, Johan A., Aniek P. M. van Zantvoort, Henricus Pieter Hubert Hundscheid, Adwin R. Hoogeveen, Joep A. W. Teijink, and Marc R. Scheltinga. "Superficial Peroneal Nerve Injury Risk During a Semiblind Fasciotomy for Anterior Chronic Exertional Compartment Syndrome of the Leg: An Anatomical and Clinical Study." Foot & Ankle International 40, no. 3 (November 22, 2018): 343–51. http://dx.doi.org/10.1177/1071100718811632.

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Background: Up to 8% of patients who underwent a fasciotomy for leg anterior chronic exertional compartment syndrome (ant-CECS) report sensory deficits suggestive of iatrogenic superficial peroneal nerve (SPN) injury. In the current study we aimed to thoroughly assess the risk of SPN injury during a semiblind fasciotomy of the anterior compartment using 2 separate approaches. Methods: A modified semiblind fasciotomy of the anterior compartment was performed via a longitudinal 2-cm skin incision 2 cm lateral of the anterior tibial crest halfway along the line fibular head-lateral malleolus both in cadaver legs and in patients with ant-CECS. In the cadaver legs, the skin was removed after the procedure and possible SPN injuries and spatial relationships between the SPN and the opened fascia were studied. Between January 2013 and December 2016, 64 ant-CECS patients who underwent a fasciotomy of the anterior compartment were prospectively followed. Iatrogenic SPN injuries were assessed using questionnaires and physical examinations. Results: Macroscopic SPN nerve injury was not observed in any of the 9 cadaver legs. In 8 specimens, the SPN was located at least 5 mm posterolateral to the opened fascia. In 1 specimen, an undamaged SPN branch crossed the operative field in a ventral plane. De novo sensory deficits suggestive for iatrogenic SPN injury were not observed in any of the 64 patients (120 legs; 36 females; median age, 22 years) who underwent a fasciotomy of the anterior compartment. Conclusion: The proposed semiblind fasciotomy for treatment of ant-CECS was not associated with SPN injury in either the cadaveric study or our clinical series. Level of Evidence: Level IV, case series.
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Tkach, A. V., A. А. Тikhonenko, М. V. Andrianov, А. N. Brekhov, Уи V. Kobets, A. G. Malchenko, А. V. Plotkin, and А. А. (Jr ). Тikhonenko. "PREVENTION AND TREATMENT OF COMPARTMENT SYNDROME DURING CLOSED LOCKABLE INTRAMEDULLARY OSTEOSYNTHESIS OF SHIN BONES." Herald of physiotherapy and health resort therapy 26, no. 3 (2020): 31–37. http://dx.doi.org/10.37279/2413-0478-2020-26-3-31-37.

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The aim of our study: to make an analysis of the development of MGIS with closed reposition and tibial metal osteosynthesis with a rod, to formulate the basics of the prevention of the compartment syndrome, using preventive fasciotomy, closed and half-closed. Carrying out preventive fasciotomy shin of technological cuts for the implantation of the locking rod can prevent the development of MGIS. Carrying out preventive fasciotomy semi-shin of technological cuts for the synthesis of the tibia does not affect the functional and cosmetic results of treatment of fractures of the tibial shaft, but It will improve prognosis significantly. Because of reducing risks of compartment-syndrome developing.
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Almdahl, Sven M., and Frode Samdal. "Fasciotomy for chronic compartment syndrome." Acta Orthopaedica Scandinavica 60, no. 2 (January 1989): 210–11. http://dx.doi.org/10.3109/17453678909149257.

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42

Dhamrait, Rajvinder Singh. "Fasciotomy following intravenous fluid infiltration." Pediatric Anesthesia 16, no. 10 (October 2006): 1097. http://dx.doi.org/10.1111/j.1460-9592.2006.01960.x.

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Carlock, Kurtis D., Kartik Shenoy, Austin Ramme, and Toni M. McLaurin. "Arm Fasciotomy Through Lateral Approach." Journal of Orthopaedic Trauma 33 (August 2019): S15—S16. http://dx.doi.org/10.1097/bot.0000000000001539.

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44

Potter, MAJ Benjamin K., LTC Brett A. Freedman, and Michael S. Shuler. "Fasciotomy Wound Management and Closure." Techniques in Orthopaedics 29, no. 4 (December 2014): 180–84. http://dx.doi.org/10.1097/bto.0000000000000109.

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Potter, MAJ Benjamin K., LTC Brett A. Freedman, and Michael S. Shuler. "Fasciotomy Wound Management and Closure." Techniques in Orthopaedics 27, no. 1 (March 2012): 62–66. http://dx.doi.org/10.1097/bto.0b013e31824885fa.

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Fowler, J. R., M. T. Kleiner, R. Das, J. P. Gaughan, and S. Rehman. "Assisted closure of fasciotomy wounds." Bone & Joint Research 1, no. 3 (March 2012): 31–35. http://dx.doi.org/10.1302/2046-3758.13.2000022.

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Johnson, Scott B., Fred A. Weaver, Albert E. Yellin, Rosemary Kelly, and Madeline Bauer. "Clinical results of decompressivedermotomy-fasciotomy." American Journal of Surgery 164, no. 3 (September 1992): 286–90. http://dx.doi.org/10.1016/s0002-9610(05)81089-x.

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Poullis, M. "Forearm fasciotomy post cardiac surgery." European Journal of Cardio-Thoracic Surgery 16, no. 5 (November 1, 1999): 580–81. http://dx.doi.org/10.1016/s1010-7940(99)00296-1.

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Perelman, Gerald K., Michael A. Figura, and Neil S. Sandberg. "The medial instep plantar fasciotomy." Journal of Foot and Ankle Surgery 34, no. 5 (September 1995): 447–57. http://dx.doi.org/10.1016/s1067-2516(09)80020-3.

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50

Eaton, Charles. "Percutaneous Fasciotomy for Dupuytren's Contracture." Journal of Hand Surgery 36, no. 5 (May 2011): 910–15. http://dx.doi.org/10.1016/j.jhsa.2011.02.016.

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