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The Journal of Bone and Joint Surgery, Vol 58, Issue 1 112-115, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc
Fasciotomy in the treatment of the acute compartment syndrome
GW Sheridan and FA Matsen
Sixty-six cases of acute compartment syndrome were treated by fasciotomy in
forty-six extremities of forty-four patients. Fasciotomy performed early,
that is, less than twelve hours after the onset of the compartment
syndrome, resulted in normal function in 68 per cent of the extremities.
Only 8 per cent of those having late fasciotomy had normal function. The
complication rates for the early and late fasciotomized extremities were
4.5 per cent and 54 per cent, respectively. No significant differences in
residual function or complication rate were noted with "open" or "closed"
fasciotomy.
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