Mini-Open Posterior Compartment Release for Chronic Exertional Compartment Syndrome of the Leg.
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ABSTRACT:
SUBMITTER: Lavery KP
PROVIDER: S-EPMC5495562 | biostudies-literature | 2017 Jun
REPOSITORIES: biostudies-literature
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Mini-Open Posterior Compartment Release for Chronic Exertional Compartment Syndrome of the Leg.
Lavery Kyle P KP Bernazzani Michael M McHale Kevin K Rossy William W Oh Luke L Theodore George G
Arthroscopy techniques 20170529 3
Chronic exertional compartment syndrome (CECS) is a well-recognized cause of leg pain in endurance athletes. Surgical fasciotomy for posterior leg CECS historically has inferior clinical results compared with anterior and lateral compartment release. Poor surgical technique with inadequate release may contribute to less reliable outcomes. In this Technical Note with accompanying video, we describe a mini-open approach for posterior CECS of the leg. ...[more]
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Project description:Chronic exertional compartment syndrome (CECS) is a significant source of lower extremity pain and morbidity in the athletic population. Although endoscopic techniques have been introduced, open fasciotomy remains the mainstay of surgical treatment because of the paucity of evidence in support of an endoscopic approach. The literature on surgical management of CECS is mixed, and overall success rates are modest at best. Optimizing surgical technique, including prevention of neurovascular injury and wound complications, can make a significant impact on the clinical outcome. Here we present our surgical technique, including pearls and pitfalls, for open 4-compartment fasciotomy for treatment of chronic exertional compartment syndrome.
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