Volume : VII, Issue : II, February - 2017

PERCUTANEOUS FASCIOTOMY IN IMPENDING COMPARTMENT SYNDROME�A PROSPECTIVE STUDY OF 25 PATIENT

Dr. Mohamed Ashraf, Dr. Shrikant Haridas Khose

Abstract :

 BACKGROUND

Compartment syndrome present a challenge for orthopedic

surgeons. It is an emergency surgical condition that can lead to

profound functional disability ,ischemia and gangrene, if not

diagnosed& treated promptly. We performed a prospective

study of post traumatic impending compartment syndrome

treated by mini open compartment fasciotomy.

 

Results in terms of wound complication,need for secondary

procedure, timing of fracture fixation, rate of fracture

union, hospital stay and cosmetic appearance were evaluated

against complete open fasciotomy.

 

 

 

 

 

 

MATERIALS AND METHODS

Twenty five patients who were operated between 2010 and

2016 were selected for the study.

24 patient with fracture tibia treated with fasciotomy followed

by definitive fixation.

One patient of wringing injury by rope with impending

compartment syndrome.

All documents from their admission until the last follow–up

in December 2016 were reviewed, data regarding

complications collected and results were evaluated using

Oxford Knee scoring system ,Lower Extremity Functional

Scale, union rate, complication,Circumferential measurements

and range of motion.

 

RESULTS

Need for secondary wound procedure(flap.SSG,VAC) is nil.

Definitive management of fracture done early with high

union rate, lesscomplication, less hospital stay with good

cosmetic results.

CONCLUSION

➤ This study shows importance & methods of detecting a specific

condition ‘Impending compartment syndrome’& limited

intervention during this period will prevent a full fledged

compartment syndrome & subsequent permanent disability.

➤ Similar studies are very rare in the literature.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Mohamed Ashraf, Dr.Shrikant Haridas Khose, PERCUTANEOUS FASCIOTOMY IN IMPENDING COMPARTMENT SYNDROME�A PROSPECTIVE STUDY OF 25 PATIENT, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾2 | February‾2017


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