Chapter 36
Fasciotomy
Calvin B. Ernst,
Bruce H. Brennaman,
Henry Haimovici,
Calvin B. Ernst
Search for more papers by this authorBruce H. Brennaman
Search for more papers by this authorHenry Haimovici
Search for more papers by this authorCalvin B. Ernst,
Bruce H. Brennaman,
Henry Haimovici,
Calvin B. Ernst
Search for more papers by this authorBruce H. Brennaman
Search for more papers by this authorHenry Haimovici
Search for more papers by this authorBook Editor(s):Enrico Ascher,
L. H. Hollier,
D. Eugene Strandness,
Jonathan B. Towne,
Keith Calligaro,
K. Craig Kent,
Gregory L. Moneta,
William H. Pearce,
John J. Ricotta,
Henry Haimovici,
Enrico Ascher
Search for more papers by this authorL. H. Hollier
Search for more papers by this authorD. Eugene Strandness
Search for more papers by this authorJonathan B. Towne
Search for more papers by this authorKeith Calligaro
Search for more papers by this authorK. Craig Kent
Search for more papers by this authorGregory L. Moneta
Search for more papers by this authorWilliam H. Pearce
Search for more papers by this authorJohn J. Ricotta
Search for more papers by this authorHenry Haimovici
Search for more papers by this authorFirst published: 01 January 2004
Summary
This chapter contains section titled:
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Indications
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Anatomy of the Compartments
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Technique
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Pitfalls and Complications
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Selected Readings
References
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- Ascer E, Strauch B, et al. Ankle and foot fasciotomy: an adjunctive technique to optimize limb salvage after revascularization for acute ischemia. J Vasc Surg 1989; 9 (4): 594–597. Fasciotomy of the ankle and foot should be considered for compartment syndrome unrelieved by standard leg fasciotomy.
- Fowl RJ, Akers DL, Kempczinski RE. Neurovascular lower extremity complications of the lithotomy position. Ann Vasc Surg 1992; 6 (4): 357–361. Perioperative monitoring of the lower extremity circulation and compartment pressures are essential in these patients.
- Kikta RJ, Meyer JP, et al. Crush syndrome due to limb compression. Arch Surg 1987: 122 (9): 1078–1081. Extensive open fasciotomy and dialysis for severe acute renal failure should provide good functional results in the majority of patients.
- Pedowitz RA, Hargens AR, et al. Modified criteria for the objective diagnosis of chronic compartment syndrome of the leg. Am J Sports Med 1990; 18 (1): 35–40. Criteria to be diagnostic of chronic compartment syndrome of the leg are 1) a preexercise pressure greater than or equal to 15 mmHg, 2) a 7-minute postexercise pressure of greater than or equal to 30 mmHg, or 3) a 5-minute postexercise pressure greater than or equal to 20 mmHg.
- Ris HB, Furrer M, et al. Four-compartment fasciotomy and venous calf-pump function: long-term results. Surgery 1993; 113 (1): 55–58. Fasciotomy does not lead to venous pump dysfunction, irrespective of whether the wound is closed by delayed suture or skin grafts.
- Rosfors S, Bygdeman S, Wallensten R. Venous circulation after fasciotomy of the lower leg in man. Clin Physiol 1988; 8 (2): 171–180. The results of the study indicate that an intact muscle fascia is of importance for venous return and venous pump function.
- Rush DS, Frame SB, et al. Does open fasciotomy contribute to morbidity and mortality after acute lower extremity ischemia and revascularization? J Vasc Surg 1989; 10 (3): 343–350. Limb loss and death resulted from persistent ischemia and underlying systemic disease processes or injuries, but not from open fasciotomy wound complications.
- Turnipseed W, Detmer DE, Girdley F. Chronic compartment syndrome: an unusual cause for claudication. Ann Surg 1989; 210 (4): 557–562; discussion 562–563. Patients treated by open fasciotomy instead of subcutaneous fasciotomy had fewer early postoperative wound complications (6% vs. 11%) and fewer late recurrences (2% vs. 11%).
