Article: article from journal or magazin.
Two minimal incision fasciotomy for chronic exertional compartment syndrome of the lower leg
Knee Surgery, Sports Traumatology, Arthroscopy
Journal Article --- Old month value: Feb
Chronic exertional compartment syndrome (CECS) of the leg is a pathological condition often related to overuse in subject who engage repetitive physical activities. Fascial release is the mainstay of surgical management. The purpose of this study was to evaluate the results obtained with a double incision decompressive fasciotomy. Eighteen consecutive athletes with a diagnosis of anterior and/or lateral CECS of the leg were operated on with a minimal double incision fascial release after a mean period of 4 months after onset of symptoms. In 11 cases (61%) CECS was bilateral. Surgery was performed without tourniquet and active mobilization was starting immediately. Sports activities were resumed gradually at a mean period of 25 days. The athletes were followed until 2 years. All resumed pre-injury level sports activity. Two patients (18%) of the 11 who underwent to bilateral fasciotomy referred a sensation of leg weakness for an average period of 3 months. The surgical technique presented in this paper seems to be a good mean to treat anterior and lateral leg CECS. The use of tourniquet is deconselled to obtain an accurate intraoperative haemostasis so reducing the risk of post-operative haematoma.
Adult Compartment Syndromes/physiopathology/*surgery Decompression, Surgical/*methods Exertion/physiology Fascia/*surgery Female Humans Leg/physiopathology/*surgery Male Patient Satisfaction Sports/*physiology Surgical Procedures, Minimally Invasive Treatment Outcome
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