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Fasciotomy for chronic compartment syndrome
1Troms Military Hospital, Bardu, Norway.
Acta Orthopaedica Scandinavica
|April 1, 1989
Summary
Subcutaneous fasciotomy effectively treated chronic anterior tibial compartment syndrome in 34 patients. Long-term results showed excellent or good outcomes in most cases, with a low recurrence rate.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Lower Extremity Conditions
Background:
- Chronic anterior tibial compartment syndrome (ATCS) significantly impacts lower limb function.
- Surgical intervention is often necessary for persistent ATCS symptoms.
Purpose of the Study:
- To evaluate the long-term efficacy of subcutaneous fasciotomy for chronic ATCS.
- To assess surgical outcomes and recurrence rates following the procedure.
Main Methods:
- Retrospective analysis of 34 patients (56 legs) undergoing subcutaneous fasciotomy for chronic ATCS between 1977-1978.
- Surgery performed under local anesthesia with a mean follow-up of 10 years.
Main Results:
- Excellent or good long-term results were achieved in 41 out of 56 assessed legs (73%).
- Fair results were noted in 11 legs, and poor results in 4 legs.
- A single recurrence of ATCS was observed and successfully managed with refasciotomy.
Conclusions:
- Subcutaneous fasciotomy is a durable and effective surgical treatment for chronic anterior tibial compartment syndrome.
- The procedure offers a high rate of successful long-term outcomes with minimal recurrence.