Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg.

Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. Research Abstract Details 

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Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. Abstract Text:

M S Cohen,S R Garfin,A R Hargens,S J Mubarak,

Prompt surgical decompression is the only means of preventing the late sequelae of ischaemic contracture in post-traumatic compartment syndromes. However, controversy exists regarding the length of dermotomy required for adequate decompression in the lower extremity. This study investigated the skin envelope as a potential contributing factor. Wide fascial releases were performed through limited 8 cm incisions in eight cases of post-traumatic lower extremity compartment syndrome. In nine of 29 compartments the pressure remained greater than 30 mmHg. Lengthening the skin incisions to an average of 16 cm decreased intracompartmental pressures significantly. This study documents the skin envelope as a contributing factor in acute compartment syndromes of the leg. The use of generous skin incisions is supported and the need for intra-operative compartment pressure measurements in the treatment of this condition is emphasised.

Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. Publishing Authors By Initials

MS Cohen,SR Garfin,AR Hargens,SJ Mubarak,

For similar integumentary system: skin research abstracts see: integumentary system: skin research

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Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Journal of bone and joint surgery. British vol

VOLUME: 73

Page Numbers: 287-90

Journal Abbreviation:

ISSN: 0301-620X

DAY: 14

MONTH: Mar

YEAR: 1991

Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. Information

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LANGUAGE: eng

NlmUniqueID: 375355

Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg. Keywords Mesh Terms:

KEYWORDS: Skin

MESH TERMS: surgery

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Grant and Affiliation Information for Acute compartment syndrome. Effect of dermotomy on fascial decompression in the leg.

AFFILIATION: Division of Orthopaedics, University of California, San Diego 92103.

Country: ENGLAND

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MEDLINETA: J Bone Joint Surg Br

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