Fasciotomy for chronic compartment syndrome in the lower limb.

摘要

BACKGROUND: The aim of this study was to determine the successof fasciotomy of lower limb compartments with elevated intra-compartmentpressure. METHODS: The present report is a retrospective cohort studyat No. 3 Combat Support Hospital involving a survey and case notereview of patients who had undergone fasciotomy for compartmentsyndrome at least 6 months earlier (December 1997-December2000). RESULTS: Fourteen patients met the inclusion criteria. Elevenreported success with complete resolution of symptoms and returnto military fitness levels. Two reported no change and significantresidual symptoms. One reported worse symptoms and one required re-operationwith a successful result. CONCLUSION: Surgical decompression is the accepted treatment ofcompartment syndrome as proven by pressure manometry, after failureof conservative treatment.