The Journal of Bone and Joint Surgery (American). 2009;91:2708-2712.
doi:10.2106/JBJS.H.01447
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Limb Salvage in the Treatment of Total Muscle Necrosis of the Leg Due to Compartment Syndrome

A Report of Three Cases

Kagan Ozer, MD1 and Wade Smith, MD1

1 Denver Health Medical Center, 777 Bannock Street, MC 188, Denver, CO 80204. E-mail address for K. Ozer: kagan.ozer@dhha.org

Investigation performed at Denver Health Medical Center, Denver, Colorado

The first 150 words of the full text of this article appear below.


   Introduction
 
Prolonged high intracompartmental pressures, whether due to external causes or intracompartmental pathology, can lead to severe, if not total, necrosis of the muscle in the affected compartment(s). Aggressive treatment may reduce systemic complications and can help to improve the function as well as the survival of the patient. The treatment for acute compartment syndrome is early fasciotomy1. In the presence of severe crush injury, however, fasciotomy may lead to infection if any necrotic muscle remains after débridement and if wound and antibiotic therapies are not managed appropriately. Uncontrolled infection may lead to sepsis, amputation, and death. Currently, there is no objective method to predict the potential for the viability of compartment muscles prior to surgical release. Once the compartment has been released, the increased intracompartmental pressure usually returns to normal, and muscle viability is assessed by its response to physiologic stimuli (electrical or mechanical) and by its texture (turgor . . . [Full Text of this Article]


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