Wound closure expectations after fasciotomy for paediatric compartment syndrome

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Wound closure expectations after fasciotomy for paediatric compartment syndrome

Purpose Acute compartment syndrome often requires additional surgery to achieve wound closure. Little information exists regarding the expected number of surgeries, techniques and complications after closure in paediatric patients. Methods A retrospective chart review identified patients treated for acute compartment syndrome at four hospitals over a ten-year period. The cause of injury, type...

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Bedside Fasciotomy for Treatment of Compartment Syndrome

A compartment is an area of muscle groups and neurovascular structures enclosed by fascia. The leg consists of 4 compartments: anterior, lateral, superfi cial posterior, and deep posterior. The foot, although occupying less surface area than the leg, contains 9 compartments. The compartments are medial, lateral, 4 interossei, calcaneal, and superfi cial and deep central compartments (1). Compar...

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Elevation as a treatment for fasciotomy wound closure.

There are currently numerous techniques described in the literature that attempt to optimize wound closure following a fasciotomy. However, primary closure of fasciotomy wounds continues to be difficult to accomplish successfully because of the underlying edema sustained from the compartment syndrome. The approach described in the present report is simple and physiologically sound, and addresse...

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Dynamic wound closure for decompressive leg fasciotomy wounds.

Decompressive fasciotomy for preservation of lower extremity function and salvage is an essential technique in trauma. The wounds that result from the standard two incision four-compartment leg fasciotomy are often accompanied by a wide soft tissue opening that in the face of true compartment syndrome are often impossible to close in a delayed primary fashion. We describe a technique using a de...

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Delayed Presentation of Gluteal Compartment Syndrome: The Argument for Fasciotomy

A male patient in his fifties presented to his local hospital with numbness and weakness of the right leg which left him unable to mobilise. He reported injecting heroin the previous morning. Following an initial diagnosis of acute limb ischaemia the patient was transferred to a tertiary centre where Computed Tomography Angiography was reported as normal. Detailed neurological examination revea...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2018

ISSN: 1863-2521,1863-2548

DOI: 10.1302/1863-2548.12.170102