Percutaneous mini open fasciotomy for impending acute compartment syndrome of leg: A study of 25 patients
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Compartment syndrome can complicate any fracture and is a challenge for orthopedic surgeons. It is an emergency condition which can lead to profound functional disability, ischemia and gangrene of limb if not promptly diagnosed and treated early. The fasciotomy procedure used widely for compartment syndrome of leg fracture is an open fasciotomy. Delay in fasciotomy wound healing, infection, need of secondary procedures may delay definite fracture fixations. Materials and Methods: We performed a prospective study of post traumatic tibia fractures with impending compartment syndrome treated by mini open percutaneous compartment fasciotomy. Results in terms of arrest of progression of the condition, wound complications, need for secondary procedure for wound healing and cosmetic appearance were evaluated Twenty five patients who were operated between 2010 and 2015 were selected for the study. 25 patients with fracture leg with impending compartment syndrome were treated with mini-open fasciotomy. Patients were reviewed post surgically and data was collected regarding symptoms and outcome assessment using specific parameters. Results: In all of our patients we were able to relieve the compartment pressure by this mini-open approach with pain relief in all (n=25) the patients within 6 hours. Mean healing time of the wound was 7 days and there was no wound infection. Percutaneous mini-open fasciotomy can arrest the progression of compartment syndrome. Need for secondary wound procedure like flap cover, skin grafting, vacuum assisted closure is not required. Definitive management of fracture can be done early with less hospital stay with good cosmetic results. Conclusion: Percutaneous mini-open fasciotomy can be used as a definitive procedure for impending compartment syndrome of leg with minimum surgical complications.
Authors and Affiliations
Mohamed Ashraf M, Dr. Unnikrishnan J, Dr. Shrikant Haridas Khose, Dr. Nitheesh Chandran
Keywords
Related Articles
- EP ID EP501780
- DOI 10.22271/ortho.2017.v3.i1l.114
- Views 330
- Downloads 0
Operative management of fracture distal femur with locking compression plate
Background: Fractures distal femur are one of the commonest fractures encountered in high velocity trauma which are associated with high morbidity and mortality. Isolated fracture can itself lead to complications such as...
Result of intramedullary interlock nailing in fracture proximal third tibia in rural hospital
Aim: Tibia is one of the most commonly fractured bone. Proximal third tibial fracture account for 5% to 11% of tibial shaft fracture. Treatment of proximal third fracture tibia is complex and problematic. Techniques incl...
Evaluation of functional and radiological outcome of tibial plateau fractures Schatzker type V and VI treated with dual plating
Objective: High-energy tibial plateau fractures remains a challenge to orthopaedics surgeons, with the bicondylar type (Schatzker type V) and the comminuted type (Schatzker type VI) fractures being the most difficult to...
Management of displaced intraarticular calcaneal fractures by minimally invasive technique: A prospective study
Introduction: Intra-articular calcaneal fractures are conventionally treated by extensive open surgical reduction to achieve anatomical reduction of the subtalar joint and also to maintain the calcaneal height and width....
Design of anatomically locked plate for posterior malleolus by computer aided technique
Objective: To use computer aided technology to design anatomic plate for the posterior ankle by software Mimics, CT and 3D printing. Methods: The CT data of 20 normal ankles were imported into software Mimics in dicom fo...