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Doctor insights on: Lower Leg Fasciotomy

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Which procedure has less risk & better outcome - a fasciotomy of lower leg compartments left open to later close w/ skin grafts or an ankle fusion?

Which procedure has less risk & better outcome - a fasciotomy of lower leg compartments left open to later close w/ skin grafts or an ankle fusion?

Low risk procedure: Fascioatomy is a low risk procedure , ankle fusion as procedure never recommend never done as a first choice not the fusion of the joint Speak to your doctor with time and rigorous physical therapy , you should improve ...Read more

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Dr. Gary Pess
49 doctors shared insights

Fasciotomy (Definition)

Muscles are surrounded by connective tissue known as fascia and is particularly dense in the arms and legs. When the underlying muscle is injured, due to infection or blood clot, it will swell. If the swelling is severe, the fascia works as a tourniquet and can reduce the blood flow to the muscle leading to more damage. Fasciotomy is a procedure that cuts open the ...Read more


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Feel weakness in my legs 5 weeks after fasciotomy, should I be concerned?

Feel weakness in my legs 5 weeks after fasciotomy, should I be concerned?

Not sure: It is hard to tell if you had both legs involved with fasciotomy or just one. There may have been nerves disturbed that will need more time to heal. If you had any muscle damage from the high pressure in the compartments (ischemia), this may also need time to resolve and heal. I would recommend a good eval by a physical therapist and let them recommend a therapy plan to help you. ...Read more

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Recent repeat fasciotomy. Loose fluid found in leg. If fasciotomies causing morel-lavallee lesions causing scarring, what treatment compression drain?

Recent repeat fasciotomy. Loose fluid found in leg. If fasciotomies causing morel-lavallee lesions causing scarring, what treatment compression drain?

VAC will help: Blood supply to skin and subcutaneous tissue comes from perforating vessels from fascia , when disrupted as in fasciotomy , blood and fluid collects next to edges called 'morel-lavallee's lesions that delays tissue approximation and healing , vac ( vacuum assisted closure ) will help to heal faster. ...Read more

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What to do if I had exertional compartment syndrome in both my legs, about two years ago I got the fasciotomy surgery done.?

What to do if I had exertional compartment syndrome in both my legs, about two years ago I got the fasciotomy surgery done.?

? Question: Yes you had fascial release for chronic exertional compt. syndrome... In one leg or both.?Are u a runner? What are your symptoms now ? Are u working out now? Running? Bicycling? Leave more details and a specific question that you want answered... Maybe I can help! Best of Luck! ...Read more

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In derotational osteotomy tibia, which muscle compartments usually get fasciotomy? Have CS in anterior & deep compartments of leg and medal of foot.

Derotational or high: 4 DJD?derotational R usually done in kids with severe deformity, & no compartments released. If it was high & derotational or 4 DJD, compartments R not routinely released. CS is a complication that must B watched 4 & addressed if develops post op. I have not had this as a complication but it's always in Ur mind post op, then all 4 should B released. Some use cont pressure monitoring & do the high ...Read more

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Still got pain in right lower leg?

Still got pain in right lower leg?

Still?: Share the initial problem to better help you....Where is the pain on the top, inner side, outer side?When does it occur etc. ...Read more

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How can lower leg edema be treated?

How can lower leg edema be treated?

Swelling: Or edema, has several very different causes and because of that- different treatments. Water retention due to cardiac issues needs to be treated medically, vein problems can be addressed by compression hose and elevation, lymphatic swelling needs compression via stockings and lympedema pumps. ...Read more

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I have stabing pains in lower leg?

 I have stabing pains in lower leg?

The list of: possible causes is much too long to even start here! More information is necessary You can start with your age! Include more medical info! Hope this helps! Dr Z ...Read more

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I have burning in front of lower leg?

I have burning in front of lower leg?

Concern is infection: First concern is infection- would make sure it is not warm or significantly red- if so you need to see your physician for possible antibiotics, nerve issues can also contribute f you are a diabetic. Ok to wait it out if there are no true signs of infection. ...Read more