Left Leg Fasciotomy

31 yr old woman with a left knee injury and 8 hours of ischemia after revascularization undergoes posterior compartment fasciotomy.

Category:

Science & Technology

Tags:

• medicine
• fasciotomy
• surgery

[zooropa1967]

Although I dont see your response here I did recieve it in my email... I was wondering if you could tell me what test would have to be done to see how much muscle damage has been done if this has been compartment syndrome all these years. I have not been able to bear full weight on this leg for the 2.5 yrs pretty much. I have had an mri which just shows a mild muscle strain. Something is so wrong and nothing keeps showing up on tests. The pain is unbearable ..thank you for your help -patty

[LaredoVascularSurg]

I would strongly recommend that you be evaluated by an orthopedic surgeon. He will be able to evaluate you and measure your compartment pressures. Good luck.

[zooropa1967]

Can someone have severe compartment syndrome for 2.5 yrs? I have had this severe pain in my outter calf for that long. It basically feels like the muscle is too big for the leg. some of the pressure is different now and It just is severe pain and a muscle that feels sunk in and not working right. I know I am in big trouble and I cant find a doctor to help :(

[LaredoVascularSurg]

What you are describing may be a chronic compartment syndrome which is different from the situation we treated in the video. I would recommend that you be evaluated by an orthopedic surgeon.

[KGFC5]

Nice video, would have been better if we had a close up.

Once you identify the posteromedial septum, do you simply blunt dissect it ?

Does one have to perform both incisions in all cases, I mean for anterolateral and posteromedial compartments or one suffices based on which compartments have greater swelling ?

[LaredoVascularSurg]

Thanks for the comments. Decompression of the superficial posterior and deep posterior compartments of the leg requires an incision into the fascia to fully open and release the underlying muscle.

In general, all four muscle compartments should be decompressed in a patient with a compartment syndrome. This usually requires two separate incisions.

[SuperEm456]

cool

[dodgerlives]

I hate 10-0 prolene and as such also hate vascular surgeons...

[xxHayleyxxyelyaHxx]

hi i have to get a fasciotomy soon due to a very rare condition of fascial hernia's bout 3 on each leg ave been told am about the third known to my consultant to have this how serious of an operation is this please note i have had bilateral subtaylor athrodesis and fascial hernia's removed in past was also born with clubbed foot had that corrected as a baby x

[Rhapthorne3]

@ShinSo606 if the area with the bite mark swells a lot then yes they do cut it open to relieve pressure. You don't want excess swelling anywhere in the body because it can seriously impede circulation which then leads to tissue death and amputation.

[luislopez351]

is it normal to be aroused and disturbed at the same time watching this? xD JK JK

[ghunter3434]

omg i had five surgery from birth my leg got stuck on the umm yeah and i had to a surgery to order my foot again it took about six surgery to be done

[kaeldi2010]

glad im unconscious for sugeries now...

[ShinSo606]

when someone get a  diamondback snake bite..does it necessary to do a fasciotomy ? :)