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Two minimal incision fasciotomy for chronic exertional compartment syndrome of the lower leg

Mouhsine, E. ; Garofalo, R. ; Moretti, B. ; Gremion, G. ; Akiki, A.

In: Knee Surgery, Sports Traumatology, Arthroscopy, 2006, vol. 14, no. 2, p. 193-197

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    Titre
    • Two minimal incision fasciotomy for chronic exertional compartment syndrome of the lower leg
    Auteur
    • Mouhsine, E.. Department of Orthopaedic and Traumatology, OTR-BH 14, CHUV, 1011, Lausanne, Switzerland
    • Garofalo, R.. Department of Orthopaedic and Traumatology, OTR-BH 14, CHUV, 1011, Lausanne, Switzerland
    • Moretti, B.. Department of Orthopaedic and Traumatology, OTR-BH 14, CHUV, 1011, Lausanne, Switzerland
    • Gremion, G.. Department of Orthopaedic and Traumatology, OTR-BH 14, CHUV, 1011, Lausanne, Switzerland
    • Akiki, A.. Department of Orthopaedic and Traumatology, OTR-BH 14, CHUV, 1011, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Knee Surgery, Sports Traumatology, Arthroscopy, 2006, vol. 14, no. 2, p. 193-197. Springer-Verlag; http://www.springer.de
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:309657
    Summary
    Chronic exertional compartment syndrome (CECS) of the leg is a pathological condition often related to overuse in subject who engage repetitive physical activities. Fascial release is the mainstay of surgical management. The purpose of this study was to evaluate the results obtained with a double incision decompressive fasciotomy. Eighteen consecutive athletes with a diagnosis of anterior and/or lateral CECS of the leg were operated on with a minimal double incision fascial release after a mean period of 4months after onset of symptoms. In 11 cases (61%) CECS was bilateral. Surgery was performed without tourniquet and active mobilization was starting immediately. Sports activities were resumed gradually at a mean period of 25days. The athletes were followed until 2years. All resumed pre-injury level sports activity. Two patients (18%) of the 11 who underwent to bilateral fasciotomy referred a sensation of leg weakness for an average period of 3months. The surgical technique presented in this paper seems to be a good mean to treat anterior and lateral leg CECS. The use of tourniquet is deconselled to obtain an accurate intraoperative haemostasis so reducing the risk of post-operative haematoma