Four-compartment fasciotomy and venous calf-pump function: long-term results
Details
Serval ID
serval:BIB_A70EAAA78355
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Four-compartment fasciotomy and venous calf-pump function: long-term results
Journal
Surgery
ISSN
0039-6060 (Print)
Publication state
Published
Issued date
01/1993
Volume
113
Number
1
Pages
55-8
Notes
Journal Article --- Old url value: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=8417489 --- Old month value: Jan
Abstract
Twenty-one patients who underwent a four-compartment fasciotomy between January 1, 1986, and December 31, 1987, were revisited with respect to venous calf-pump function 32 to 56 months (mean, 46.2 months) after fasciotomy. Enrollment criteria consisted of an intact motor innervation, palpable pedal pulses, the absence of venous hypertension, and deep venous thrombosis before and during the treatment requiring fasciotomy and unimpaired ankle and knee joint function. None of the patients showed signs of chronic venous hypertension at assessment. Ambulatory strain-gauge plethysmography revealed no significant difference in recovery time and refilling volume values between the two limbs of each patient (p > 0.1) and between limbs in which fasciotomy was performed and those of normal subjects (p > 0.1). Color flow duplex scanning revealed patent popliteal veins with normal respiration-induced phasic flow pattern and absent reflux in all patients. All visible calf veins were patent, compressible, and without morphologic alterations. The fasciotomy wound was closed by delayed skin suture (the fascia remaining divided) in 48% and by skin grafts of the lateral incision in 52% of the patients, without significant difference in recovery time and refilling volume values (p > 0.1) at assessment. Fasciotomy does not lead to venous calf-pump dysfunction, irrespective of whether the wound is closed by delayed suture or skin grafts.
Keywords
Adolescent
Adult
Aged
Compartment Syndromes/*surgery
Fascia/*surgery
Female
Follow-Up Studies
Humans
Leg/*blood supply
Male
Middle Aged
Plethysmography
Surgical Procedures, Operative/methods
Veins/physiopathology
Pubmed
Web of science
Create date
29/01/2008 14:00
Last modification date
20/08/2019 16:11