Document Detail

Four-compartment fasciotomy and venous calf-pump function: long-term results.
MedLine Citation:
PMID:  8417489     Owner:  NLM     Status:  MEDLINE    
Twenty-one patients who underwent a four-compartment fasciotomy between January 1, 1986, and December 31, 1987, were revisited with respect to venous calf-pump function 32 to 56 months (mean, 46.2 months) after fasciotomy. Enrollment criteria consisted of an intact motor innervation, palpable pedal pulses, the absence of venous hypertension, and deep venous thrombosis before and during the treatment requiring fasciotomy and unimpaired ankle and knee joint function. None of the patients showed signs of chronic venous hypertension at assessment. Ambulatory strain-gauge plethysmography revealed no significant difference in recovery time and refilling volume values between the two limbs of each patient (p > 0.1) and between limbs in which fasciotomy was performed and those of normal subjects (p > 0.1). Color flow duplex scanning revealed patent popliteal veins with normal respiration-induced phasic flow pattern and absent reflux in all patients. All visible calf veins were patent, compressible, and without morphologic alterations. The fasciotomy wound was closed by delayed skin suture (the fascia remaining divided) in 48% and by skin grafts of the lateral incision in 52% of the patients, without significant difference in recovery time and refilling volume values (p > 0.1) at assessment. Fasciotomy does not lead to venous calf-pump dysfunction, irrespective of whether the wound is closed by delayed suture or skin grafts.
H B Ris; M Furrer; S Stronsky; B Walpoth; B Nachbur
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  113     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-01-28     Completed Date:  1993-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  55-8     Citation Subset:  AIM; IM    
Department of Thoracic and Cardiovascular Surgery, Medical School, University of Berne, Switzerland.
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MeSH Terms
Compartment Syndromes / surgery*
Fascia / surgery*
Follow-Up Studies
Leg / blood supply*
Middle Aged
Surgical Procedures, Operative / methods
Veins / physiopathology

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