Leg - Fasciotomy
This Leg – Fasciotomy course will teach you:
- To decompress the muscular compartments of the lower leg in case of a compartment syndrome. This way blood circulation and perfusion will either be restored or maintained and ischemia of the extremity will be prevented.
Special attention is paid to the following hazards you may encounter during this Leg – Fasciotomy:
- Great saphenous vein injury
- Posterior tibial neurovascular bundle injury
With the following tips you might perform this Leg – Fasciotomy even better:
- Superficial posterior compartment identification
The following specific situations are elaborated in more detail:
- Wound closure techniques:
- Primary closure
- Gradually suture approximation – Shoelace technique
- Dynamic dermatotraction – Mechanical devices
- Vacuum assisted closure (VAC)
- Split thickness skin graft
After studying this Leg – Fasciotomy course you are familiar with the most common complications:
- Recurrent compartment syndrome
- Nerve damage
- Late wound complications
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Step by step
Mark the landmarks, the lateral malleolus and the fibular head.
Incise the skin longitudinally 20-30 cm between tibial crest and fibula shaft, in case of an acute compartment syndrome.
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