Doctor insights on:
Lower Leg Fasciotomy
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?
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
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
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
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
Is cutting thru ankle extensor retinaculum standard procedure for extending leg fasciotomy for repeat compartment syndrome? What are consequences?
Result: swelling, tendon instability, some time weakness due to lose of pulley effect ...Read more
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
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 moreSee 1 more doctor answer
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