![]() ![]() Acute compartment syndrome was associated withįracture of the leg, 11 ankle fracture, 2 and soft tissue injuries only,Ģ. The mechanism of injury was motor vehicle accident, 7 fall from own height,ģ and a direct blow, 5. The average age was 35 years (range, 25 to 50). Results: Fifteen men were reviewed at an average follow-up ofĨ years (range, 2 to 13). Group of 10 healthy subjects, taking account of handedness (Azemar score). ![]() ![]() The results were compared with the other side and with a standardized control Plantar flexor, invertor, and everter muscles of the ankle were tested. Recovery of muscle strength of the lower limb with use of a Biodex III dynamometer.īilateral isokinetic (60°/sec and 120°/sec) strength of dorsiflexor, Measure of health-related quality of life (SF-36). Subjects were asked to complete a standardized Pain (visual analog scale) and range of motion and performed a neurologicĮxamination of the lower limb. In order to assess long-term outcome, we analyzed Had undergone early fasciotomy within 6 hours of injury. Series of patients who were treated with surgical decompression of an acuteĬompartment syndrome after an isolated trauma of the lower leg. Methods: We retrospectively reviewed records of a consecutive Strength and impact on health-related quality of life after surgical decompression. There is limited knowledge of long-term course, as well as recovery of muscle Of acute compartment syndrome have been well-described in the literature, Although the cause, pathophysiology, and treatment Or delay may lead to irreparable damage to muscle and nerve, leading to That requires immediate surgical decompression. Purpose: Acute compartment syndrome of the lower leg is a condition Peter, MD (n) Physical Medicine & Rehabilitation University Hospital Hospital de Beau-Sejour, Geneva, Switzerland Syndrome of the Lower Leg Veronique Graf, MD (n) Maximilien Jung, MD (n) Edmundīiason, PT (n) Richard Stern, MD (n) Robin E. Late Functional Outcome following Fasciotomy for Acute Compartment In such cases, surgical release of the skin layer is recommended, and can result in significant clinical improvement.Late Functional Outcome following Fasciotomy for Acute Compartment Syndrome of the Lower Leg We propose that intact anatomical fascia need not be present for compartment syndrome to occur, and that the presence of constricting fibrous tissue or a well-encapsulating skin layer can result in the development of increased compartment pressures following reperfusion and significant muscle swelling. As these cases demonstrate, prior fasciotomy cannot be considered completely protective against future compartment syndrome. To our knowledge, these are the only reported cases of recurrent compartment syndrome in patients with previous fasciotomy who lacked identifiable intact fascia upon re-exploration. ![]() Recurrent compartment syndrome is a rare event in patients who have had previous fasciotomy. There were no previously reported cases of recurrent compartment syndrome in patients without intact fascia seen intraoperatively. In both cases, operative notes reported intact fascia. A literature review revealed one previous report describing two cases of repeat fasciotomy for recurrent compartment syndrome. Incisions over the lateral calf were left open with plans for secondary closure. Extensive skin incision resulted in significant symptomatic improvement. There was no evidence of intact fascia at surgery. Urgent compartment decompression was performed for a clinical diagnosis of compartment syndrome which was confirmed by the presence of bulging muscle. In each patient, post-operative course was complicated by rising CPK levels coupled with increasing pain, worsening sensorimotor function, and tense anterior and lateral compartments on exam. Emergent thrombectomy was performed in each case with successful revascularization. Both patients had a history of prior four compartment fasciotomy performed by a medial and lateral leg incision for compartment syndrome which developed following previous revascularization several years prior to this new ischemic event. Two patients presented with acute ischemic symptoms after occlusion of previous PTFE iliopopliteal lower extremity bypass grafts. A literature review was conducted using Pubmed database to search for previous reports of recurrent compartment syndrome in patients who had undergone previous fasciotomy. We identified two patients with recurrent compartment syndrome following previous fasciotomy. We report two patients with prior four compartment fasciotomy who developed recurrent anterior and lateral compartment syndrome following successful revascularization for occlusion of lower extremity bypass grafts. Montefiore Medical Center, New York, NY, USA. John Futchko, MD, Larry Scher, MD, Karan Garg, MD, Evan Lipsitz, MD. Compartment Release for Recurrent Compartment Syndrome: Report of 2 Cases and Review of the Literature ![]()
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