[A technic for radical subcutaneous fasciotomy of the leg]

At the surgical department of District Institute of National Health in Prostĕjov in 1984-1986 eight subcutaneous fasciotomies were performed after embolectomies with prolonged is haemia. The surgical technique was standardized and its safety was proved on 20 lower limbs of corpses. For the implementation a special instrument is needed--a fasciotome made from a Küntschner nail. For reliable decompression of all four osteofascial spaces of the leg it is sufficient to make a 50 mm long transverse incision, about 30 mm proximally from the apex of the external ankle. Local anesthesia of the extent of the skin incision is sufficient, the fasciotomy itself is not painful. Due to its rapid and unpretentious character the procedure is suitable in postischaemic syndrome or a prophylactic operation.