PlumX Metrics
Embed PlumX Metrics

Acute extremity compartment syndrome and the role of fasciotomy in extremity war wounds

Military Medicine, ISSN: 1930-613X, Vol: 183, Issue: suppl_2, Page: 108-111
2018
  • 15
    Citations
  • 0
    Usage
  • 46
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

Article Description

Acute compartment syndrome (CS) is a frequent and potentially devastating complication of blunt and penetrating extremity injuries. Extremity war injuries are particularly susceptible to CS due to associated vascular injuries; high Injury Severity Score; extensive bone and soft tissue injury; and frequent transportation that may limit close monitoring of the injured extremity. Treatment consists of prompt fasciotomy of all compartments in the involved segment, over their full length. Delayed or incomplete fasciotomy is associated with worse outcomes, including muscle necrosis, infection, and amputation. Enhanced pre-deployment training of surgeons decreases the need for revision fasciotomy at higher echelons of care and should be continued in future conflicts. We recommend the liberal use of prophylactic fasciotomy prior to aeromedical evacuation and after limb reperfusion. For leg fasciotomy, we recommend a two-incision approach as it is more reproducible and allows easy vascular exposure when necessary.

Bibliographic Details

Gordon, Wade T; Talbot, Max; Shero, John C; Osier, Charles J; Johnson, Anthony E; Balsamo, Luke H; Stockinger, Zsolt T

Oxford University Press (OUP)

Medicine

Provide Feedback

Have ideas for a new metric? Would you like to see something else here?Let us know