The treatment of compartment syndromes of the leg

J Bone Joint Surg Br. 1984 Jan;66(1):93-7. doi: 10.1302/0301-620X.66B1.6693486.

Abstract

Eighteen patients with acute compartment syndromes below the knee were treated with four-compartment fasciotomies using the double-incision technique. Pre-operative tissue pressure measurements ranged from 28 to 47 mmHg. If fasciotomy was performed within 24 hours of the onset of clinical symptoms and signs, a good result was almost always achieved. It is recommended that tibial fractures complicated with a compartment syndrome should be treated with some form of operative stabilisation of the fracture at the time of surgical fasciotomies.

MeSH terms

  • Acute Disease
  • Adult
  • Compartment Syndromes / physiopathology
  • Compartment Syndromes / surgery*
  • Evaluation Studies as Topic
  • Fasciotomy
  • Female
  • Humans
  • Leg / innervation*
  • Male
  • Manometry
  • Methods
  • Tibial Fractures / complications
  • Time Factors