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Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children
BACKGROUND: The purpose of the present study is to investigate the therapeutic effect of fasciotomy through multiple small skin incisions for the treatment of early osteofascial compartment syndrome in children. METHODS: From January 2009 to May 2017, 56 pediatric patients with early osteofascial co...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368718/ https://www.ncbi.nlm.nih.gov/pubmed/32680577 http://dx.doi.org/10.1186/s13018-020-01742-2 |
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author | Yuan, Xiaowei Wu, Jun Qu, Xiangyang Li, Ming Jiang, Linjun Liu, Xing |
author_facet | Yuan, Xiaowei Wu, Jun Qu, Xiangyang Li, Ming Jiang, Linjun Liu, Xing |
author_sort | Yuan, Xiaowei |
collection | PubMed |
description | BACKGROUND: The purpose of the present study is to investigate the therapeutic effect of fasciotomy through multiple small skin incisions for the treatment of early osteofascial compartment syndrome in children. METHODS: From January 2009 to May 2017, 56 pediatric patients with early osteofascial compartment syndrome in their limbs were admitted into our department and treated with multiple small skin incisions for decompression at the early stage. The skin incisions, function, and sensation of the limbs were followed up. RESULTS: The osteofascial compartment syndrome was diagnosed at 7.4 ± 2.1 h after injury, and then fasciotomy was performed at 1.4 ± 0.4 h later. The average procedure time of fasciotomy was 12.7 ± 4.8 min. No postoperative incision infections or neurovascular injuries were observed in all the patients. The incisions completely healed in 7–10 days with an average healing time of 8 days without secondary suture. The patients were followed up for an average of 5.1 years. No Volkmann’s contractures in the injured limbs were found. The appearance, electromyography, and nerve conduction velocity of the affected limbs were not significantly different from that of the contralateral limbs. All the patients were free of symptoms and were fully recovered of sensation and function, being an “excellent” outcome at the latest follow-up. CONCLUSION: Fasciotomy through multiple small skin incisions, which can be useful to decompress the compartment pressure with fewer complications, is a simple and effective strategy for the treatment of early osteofascial compartment syndrome in children. |
format | Online Article Text |
id | pubmed-7368718 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73687182020-07-20 Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children Yuan, Xiaowei Wu, Jun Qu, Xiangyang Li, Ming Jiang, Linjun Liu, Xing J Orthop Surg Res Research Article BACKGROUND: The purpose of the present study is to investigate the therapeutic effect of fasciotomy through multiple small skin incisions for the treatment of early osteofascial compartment syndrome in children. METHODS: From January 2009 to May 2017, 56 pediatric patients with early osteofascial compartment syndrome in their limbs were admitted into our department and treated with multiple small skin incisions for decompression at the early stage. The skin incisions, function, and sensation of the limbs were followed up. RESULTS: The osteofascial compartment syndrome was diagnosed at 7.4 ± 2.1 h after injury, and then fasciotomy was performed at 1.4 ± 0.4 h later. The average procedure time of fasciotomy was 12.7 ± 4.8 min. No postoperative incision infections or neurovascular injuries were observed in all the patients. The incisions completely healed in 7–10 days with an average healing time of 8 days without secondary suture. The patients were followed up for an average of 5.1 years. No Volkmann’s contractures in the injured limbs were found. The appearance, electromyography, and nerve conduction velocity of the affected limbs were not significantly different from that of the contralateral limbs. All the patients were free of symptoms and were fully recovered of sensation and function, being an “excellent” outcome at the latest follow-up. CONCLUSION: Fasciotomy through multiple small skin incisions, which can be useful to decompress the compartment pressure with fewer complications, is a simple and effective strategy for the treatment of early osteofascial compartment syndrome in children. BioMed Central 2020-07-17 /pmc/articles/PMC7368718/ /pubmed/32680577 http://dx.doi.org/10.1186/s13018-020-01742-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Yuan, Xiaowei Wu, Jun Qu, Xiangyang Li, Ming Jiang, Linjun Liu, Xing Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
title | Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
title_full | Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
title_fullStr | Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
title_full_unstemmed | Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
title_short | Fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
title_sort | fasciotomy through multiple small skin incisions for the treatment of early acute osteofascial compartment syndrome in children |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368718/ https://www.ncbi.nlm.nih.gov/pubmed/32680577 http://dx.doi.org/10.1186/s13018-020-01742-2 |
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