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Complete Fasciotomy Using a Radial Approach for Acute Forearm Compartment Syndrome: A New Technique
Sharon Abihssira1, Thibault Gerosa1,2, Emmanuel H Masmejean1,2,3
1Hand, Upper Limb and Peripheral Nerve Surgery, Georges-Pompidou European Hospital (HEGP).
Techniques in Hand & Upper Extremity Surgery
|April 26, 2021
Summary
Acute forearm compartment syndrome requires prompt treatment to prevent long-term damage. A novel lateral S-shaped approach for forearm fasciotomies offers a potentially improved surgical option for this rare condition.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Anatomy
Background:
- Acute forearm compartment syndrome is a rare but severe condition.
- Early fasciotomy is crucial to minimize long-term complications.
- Existing fasciotomy approaches have limitations, particularly in wound management.
Purpose of the Study:
- To present a novel surgical approach for forearm compartment syndrome.
- To describe a single, lateral S-shaped incision for fasciotomy of all three forearm compartments.
- To address the need for effective and less complicated surgical techniques.
Main Methods:
- A lateral S-shaped incision was developed for forearm fasciotomies.
- This approach targets the palmar, dorsal, and mobile wad compartments.
- Surgical technique focuses on comprehensive release and wound management.
Main Results:
- The lateral S-shaped approach allows for simultaneous fasciotomy of all three forearm compartments.
- This technique aims to simplify the surgical procedure.
- Potential benefits include improved wound healing and reduced long-term sequelae compared to traditional methods.
Conclusions:
- The presented lateral S-shaped approach offers a new option for treating acute forearm compartment syndrome.
- This technique may provide a more effective and less complicated method for forearm fasciotomy.
- Further studies are warranted to evaluate its long-term efficacy and patient outcomes.

