![]() ![]() It takes a much longer time to heal and in some cases takes several months. A small bulge is visible, but is not harmful. Sometimes when closing the fascia again in another surgical procedure, the muscle is still too large to close it completely. Fasciotomy surgery is effective in relieving symptoms such as pain, swelling and tightness that result from compartment syndrome. ![]() In addition to scar formation, there is a possibility that the surgeon may need to use a skin graft to close the wound. A portion of the fascia near the heel is removed. An endoscope is inserted in one incision to guide the physician. The physician makes two small incisions on either side of the heel. Plantar fasciotomy is an endoscopic procedure. An incision is made in the skin, and a small area of fascia is removed where it will best relieve pressure. Process Wound covered with a skin graft once pressure is relieved.įasciotomy in the limbs is usually performed by a surgeon under general or regional anesthesia. Upper extremity fasciotomy is primarily indicated in the management of acute extremity compartment syndrome (impending or established). This can be addressed through occupational or physical therapy. Medial and lateral incisions are used to. A thickening of the surgical scars can result in the loss of mobility of the joint involved. The 2-incision fasciotomy technique is an effective safe method of releasing the 4 compartments of the lower leg. Complications can also involve the formation of scar tissue after the operation. Athletes who have sustained one or more serious impact injuriesĪ delay in performing the procedure can lead to neurovascular complications or lead to the need for amputation of a limb.People who are likely to have injuries needing a fasciotomy include the following: Indications Ĭompartment syndrome is one of the conditions where a fasciotomy may be indicated. The procedure has a very high rate of success, with the most common problem being accidental damage to a nearby nerve.Ī forearm fasciotomy prior to skin grafting. It is also sometimes used to treat chronic compartment stress syndrome. Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. This can help reduce the size of the defect to be covered.Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure in order to treat the resulting loss of circulation to an area of tissue or muscle. Careful use of elastic retention sutures (elastic vessel loop woven through skin staples) can help counteract skin contraction, and be tightened progressively as swelling resolves. This is only permissible if it can be achieved without any skin tension it is inadvisable in smokers, who have impaired capacity for soft-tissue healing.įasciotomy wound edges tend to retract and become difficult to close. ![]() It is tempting to the surgeon to try early secondary skin suture, rather than skin-graft coverage, once the swelling has subsided. The simplest and safest technique is to cover the healthy soft-tissue defect with a split skin graft: at a later date, when the limb contours have returned to normal, the grafted area can be excised and secondary skin closure performed without tension. Once any skeletal injury is under control, the fasciotomy wound(s) healthy and the swelling of the soft tissues has sufficiently regressed, consideration must be given to achieving skin coverage. Reperfusion injury is another cause of compartment syndrome. After blood flow is restored, capillaries leak and ischemic muscle swells.
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