Document Detail

Forearm compartment pressures: an in vitro analysis of open and endoscopic assisted fasciotomy.
MedLine Citation:
PMID:  10584956     Owner:  NLM     Status:  MEDLINE    
Pressure reduction for standard open fasciotomy and a novel endoscopic fascial release were compared in experimental conditions of elevated forearm compartment pressures by continuously monitoring intracompartmental pressures in 22 cadaver forearms. Both methods were effective in diminishing tissue pressures. Intracompartmental pressures were reduced to significantly lower levels following open versus endoscopic assisted fasciotomy (2.9 mm Hg vs. 13.2 mm Hg). In the endoscopic group a statistically significant second decrease in pressure was observed after dermatomy, reducing intracompartmental tissue pressures from 13.2 mm Hg to 3.1 mm Hg. The results of this study suggest that endoscopic assisted fasciotomy can reduce elevated tissue pressures, confirming previous findings that fascial release is of primary importance in decreasing intracompartmental tissue pressures. Open fasciotomy, however, gave significantly greater decompression than the endoscopic technique, a difference that may be even more substantial in the clinical setting due to several limiting factors of this in vitro model. Our results also suggest that immediate skin closure following fasciotomy increased tissue pressure and therefore should be avoided.
M T Havig; F J Leversedge; J G Seiler
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Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  24     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-11     Completed Date:  2000-01-11     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1289-97     Citation Subset:  IM    
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA.
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MeSH Terms
Aged, 80 and over
Compartment Syndromes / physiopathology,  surgery*
Decompression, Surgical / instrumentation
Fascia / physiopathology,  surgery*
Forearm / physiopathology,  surgery*
Hydrostatic Pressure

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