Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function
Journal Title: JOURNAL OF CONTEMPORARY MEDICINE - Year 2018, Vol 8, Issue 3
Abstract
Abstract The incidence of gunshot wounds reported in the literatureare is higher than those reported for motor vehicle accidents, sports injuries, or industrial accidents. Vascular trauma of the lower extremities may lead to acute arterial insufficency which requires rapid diagnosis and treatment. Compartment syndrome following vascular injury may also further complicate the process, increasing the risk of limb loss. In this article, we present the successful surgical treatment of a traumatic left anterior tibial artery complicated by compartment syndrome and eventual resolution of neural sequela. All effort should be made to minimize ischemia time in acute arterial injuries. Compartment syndrome may follow surgical repair even when ischemia time is low and the pulses were palpable during the entire cilinical course. Clinical diagnosis and surgical exploration may be preferable instead of compartmental pressure recordings and observation in selected cases.
Authors and Affiliations
KEVSER TURAL, Aykut Uyanık, Zeynep Bilgi
Keywords
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- EP ID EP423503
- DOI 10.16899/gopctd.373425
- Views 130
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