scholarly journals Mini-Open Posterior Compartment Release for Chronic Exertional Compartment Syndrome of the Leg

2017 ◽  
Vol 6 (3) ◽  
pp. e649-e653 ◽  
Author(s):  
Kyle P. Lavery ◽  
Michael Bernazzani ◽  
Kevin McHale ◽  
William Rossy ◽  
Luke Oh ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Posterior Compartment ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Mini Open

scholarly journals Outcome following mini-open lower limb fasciotomy for chronic exertional compartment syndrome

2021 ◽  
Author(s):  
William M. Oliver ◽  
Dominic Rhatigan ◽  
Samuel P. Mackenzie ◽  
Timothy O. White ◽  
Andrew D. Duckworth ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Lower Limb ◽  
Return To Sport ◽  
Leg Pain ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
The Mean ◽  
Active Adults ◽  
Eq Vas ◽  
Mini Open

AbstractPurposeThe aim of this study was to report outcomes following mini-open lower limb fasciotomy (MLLF) in active adults with chronic exertional compartment syndrome (CECS).MethodsFrom 2013–2018, 38 consecutive patients (mean age 31 years [16–60], 71% [n = 27/38] male) underwent MLLF. There were 21 unilateral procedures, 10 simultaneous bilateral and 7 staged bilateral. There were 22 anterior fasciotomies, five posterior and 11 four-compartment. Early complications were determined from medical records of 37/38 patients (97%) at a mean of four months (1–19). Patient-reported outcomes (including EuroQol scores [EQ-5D/EQ-VAS], return to sport and satisfaction) were obtained via postal survey from 27/38 respondents (71%) at a mean of 3.7 years (0.3–6.4).ResultsComplications occurred in 16% (n = 6/37): superficial infection (11%,n = 4/37), deep infection (3%,n = 1/37) and wound dehiscence (3%,n = 1/37). Eight per cent (n = 3/37) required revision fasciotomy for recurrent leg pain. At longer-term follow-up, 30% (n = 8/27) were asymptomatic and another 56% (n = 15/27) reported improved symptoms. The mean pain score improved from 6.1 to 2.5 during normal activity and 9.1 to 4.7 during sport (bothp < 0.001). The mean EQ-5D was 0.781 (0.130–1) and EQ-VAS 77 (33–95). Of 25 patients playing sport preoperatively, 64% (n = 16/25) returned, 75% (n = 12/16) reporting improved exercise tolerance. Seventy-four per cent (n = 20/27) were satisfied and 81% (n = 22/27) would recommend the procedure.ConclusionMLLF is safe and effective for active adults with CECS. The revision rate is low, and although recurrent symptoms are common most achieve symptomatic improvement, with reduced activity-related leg pain and good health-related quality of life. The majority return to sport and are satisfied with their outcome.

Mini-Open Surgical Fasciotomy for Chronic Exertional Compartment Syndrome of the Forearm in Professional Motorcycling Adolescents

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Paolo Schiavi ◽  
Giorgio Gondolini ◽  
Cecilia Eugenia Gandolfi ◽  
Luca Guardoli ◽  
Enrico Vaienti ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Mini Open

scholarly journals Chronic Exertional Compartment Syndrome of the Forearm in Elite Rowers: A Technique for Mini-Open Fasciotomy and a Report of Six Cases

Hand ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. 450-453 ◽  
Author(s):  
John W. K. Harrison ◽  
Philip Thomas ◽  
Asir Aster ◽  
Graeme Wilkes ◽  
Michael J. Hayton
Keyword(s):  
Compartment Syndrome ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Elite Rowers ◽  
Mini Open

scholarly journals Predictors of Improvement After Fasciotomy for Treatment of Chronic Exertional Compartment Syndrome of the Lower Extremity

2021 ◽  
pp. 194173812098410
Author(s):  
John J. Mangan ◽  
Ryan G. Rogero ◽  
Daniel J. Fuchs ◽  
Steven M. Raikin
Keyword(s):  
Linear Regression ◽  
Lower Extremity ◽  
Multiple Linear Regression ◽  
Compartment Syndrome ◽  
Functional Improvement ◽  
Posterior Compartment ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Patient Variables ◽  
Sporting Activities

Background: Previous studies have demonstrated the effectiveness of lower extremity fasciotomies in treating chronic exertional compartment syndrome (CECS). However, not all patients have demonstrated the same level of symptom improvement. Hypothesis: Specific patient variables will lead to enhanced functional improvement after fasciotomy for CECS of the lower extremity. Study Design: Case series. Level of Evidence: Level 4. Methods: A review of patients undergoing fasciotomy of the lower extremity for treatment of CECS by a single surgeon from 2009 to 2017 was performed. Pre- and postoperative measures of Foot and Ankle Ability Measure–Sports subscale (FAAM–Sports), FAAM–Sports Single Assessment Numeric Evaluation (SANE), and visual analog scale (VAS) for pain during sporting activities were collected at a minimum of 12 months postoperatively. The primary outcomes of change in FAAM-Sports, FAAM-Sports SANE, and VAS during sporting activities were calculated by taking the difference of post- and preoperative scores. Generalized multiple linear regression analyses was performed to determine independent predictors of functional and pain improvement. Results: A total of 61 patients (58% response rate) who underwent 65 procedures were included in this study, with postoperative outcome measures obtained at mean duration of 57.9 months (range, 12-115 months) after surgery. Patients had a mean ± SD improvement in FAAM-Sports of 40.4 ± 22.3 points ( P < 0.001), improvement in FAAM-Sports SANE of 57.3 ± 31.6 points ( P < 0.001), and reduction of VAS pain of 56.4 ± 31.8 points ( P < 0.001). Multiple linear regression analysis revealed deep posterior compartment involvement, younger age, a history of depression, and male sex to be significant independent predictors of enhanced improvement after fasciotomy. Conclusion: Fasciotomy is an effective treatment of CECS, with our study identifying certain patient variables leading to greater functional improvement. Clinical Relevance: Male patients, younger patients, patients with depression, and patients with deep posterior compartment involvement may serve to benefit more with fasciotomies for treatment of CECS.

scholarly journals Minimally invasive fasciotomy using a lighted retractor in the treatment of chronic exertional compartment syndrome

2019 ◽  
Vol 28 (1) ◽  
pp. 230949901989280
Author(s):  
James M Broderick ◽  
Keith A Synnott ◽  
Kevin J Mulhall
Keyword(s):  
Compartment Syndrome ◽  
Leg Pain ◽  
Direct Visualization ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Subcutaneous Tissues ◽  
Direct Nerve ◽  
Lower Leg Pain ◽  
Subcutaneous Plane ◽  
Mini Open

Chronic exertional compartment syndrome can be a debilitating cause of lower leg pain that typically affects young, healthy people during a variety of aerobic activities. Conservative management has produced a poor success rate and numerous techniques for surgical decompression have been described. Many of these, however, involve blind fascial dissection which increases the risk of direct nerve injury or insufficient fascial release. We describe a novel technique of mini-open fasciotomy using a lighted retractor which enables direct visualization of the fascia and the superficial peroneal nerve using a single, small incision. By the use of a 3- to 4-cm laterally based incision, a lighted retractor with fiber-optic illumination is introduced into the subcutaneous plane and advanced distally and proximally. The retractor gently elevates the subcutaneous tissues while focusing light directly into the surgical area and a long Metzenbaum scissors is then used to release the fascia under direct vision. Fasciotomy using this technique avoids the risks of blind fascial release and is a straightforward, safe, and effective method for compartment decompression.

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