Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome
Purpose. To determine factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. Methods. Records of 57 men and 3 women aged 8 to 84 (mean, 31.9) years who underwent fasciotomy of the lower (n=48) or upper (n=12) limbs for acute compartment syndrome following limb t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2012-12-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901202000309 |
| _version_ | 1818407848251490304 |
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| author | Mary Dover Adeel R Memon Hanan Marafi Gabrielle Kelly John F Quinlan |
| author_facet | Mary Dover Adeel R Memon Hanan Marafi Gabrielle Kelly John F Quinlan |
| author_sort | Mary Dover |
| collection | DOAJ |
| description | Purpose. To determine factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. Methods. Records of 57 men and 3 women aged 8 to 84 (mean, 31.9) years who underwent fasciotomy of the lower (n=48) or upper (n=12) limbs for acute compartment syndrome following limb trauma were retrospectively reviewed. 58 of the fasciotomies were therapeutic and 2 were prophylactic. The mean follow-up was 3.9 (range, 1–8) years. Patients were assessed through a telephone survey for persistent sequelae (parasthaesia, dysasthaesia, and/or motor weakness), using a scale of one to 4 to indicate asymptomatic, mild, moderate, and severe, respectively. Associations of persistent sequelae with the aetiology, mechanism of injury, site of fasciotomy, time to fasciotomy (from admission to anaesthesia induction), number of operations, method of closure, time to closure, and perioperative complications were assessed. Results. 18 patients were asymptomatic and 42 reported having persistent sequelae including motor weakness (n=26), parasthaesia (n=28), and dysasthaesia (n=30). In terms of severity, these sequelae were mild (n=10), moderate (n=12), or severe (n=20). Persistent sequelae were associated with higher number of operations, post-fasciotomy complications, closures with skin grafting, and increased time to closure. Conclusion. To reduce the risk of persistent sequelae after fasciotomy, careful preoperative planning and meticulous perioperative care is needed to avoid multiple operations and post-fasciotomy complications. Patients whose wounds healed by secondary intention showed the best outcome. |
| first_indexed | 2024-12-14T09:34:21Z |
| format | Article |
| id | doaj.art-91f92d57502647769a0d915e3eb07ee1 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-14T09:34:21Z |
| publishDate | 2012-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-91f92d57502647769a0d915e3eb07ee12022-12-21T23:07:59ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902012-12-012010.1177/230949901202000309Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment SyndromeMary Dover0Adeel R Memon1Hanan Marafi2Gabrielle Kelly3John F Quinlan4 Department of Trauma and Orthopaedics, Waterford Regional Hospital, Ireland Department of Trauma and Orthopaedics, Waterford Regional Hospital, Ireland Department of Trauma and Orthopaedics, Waterford Regional Hospital, Ireland School of Mathematical Sciences, University College Dublin, Dublin, Ireland Department of Trauma and Orthopaedics, Waterford Regional Hospital, IrelandPurpose. To determine factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. Methods. Records of 57 men and 3 women aged 8 to 84 (mean, 31.9) years who underwent fasciotomy of the lower (n=48) or upper (n=12) limbs for acute compartment syndrome following limb trauma were retrospectively reviewed. 58 of the fasciotomies were therapeutic and 2 were prophylactic. The mean follow-up was 3.9 (range, 1–8) years. Patients were assessed through a telephone survey for persistent sequelae (parasthaesia, dysasthaesia, and/or motor weakness), using a scale of one to 4 to indicate asymptomatic, mild, moderate, and severe, respectively. Associations of persistent sequelae with the aetiology, mechanism of injury, site of fasciotomy, time to fasciotomy (from admission to anaesthesia induction), number of operations, method of closure, time to closure, and perioperative complications were assessed. Results. 18 patients were asymptomatic and 42 reported having persistent sequelae including motor weakness (n=26), parasthaesia (n=28), and dysasthaesia (n=30). In terms of severity, these sequelae were mild (n=10), moderate (n=12), or severe (n=20). Persistent sequelae were associated with higher number of operations, post-fasciotomy complications, closures with skin grafting, and increased time to closure. Conclusion. To reduce the risk of persistent sequelae after fasciotomy, careful preoperative planning and meticulous perioperative care is needed to avoid multiple operations and post-fasciotomy complications. Patients whose wounds healed by secondary intention showed the best outcome.https://doi.org/10.1177/230949901202000309 |
| spellingShingle | Mary Dover Adeel R Memon Hanan Marafi Gabrielle Kelly John F Quinlan Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome Journal of Orthopaedic Surgery |
| title | Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome |
| title_full | Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome |
| title_fullStr | Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome |
| title_full_unstemmed | Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome |
| title_short | Factors Associated with Persistent Sequelae after Fasciotomy for Acute Compartment Syndrome |
| title_sort | factors associated with persistent sequelae after fasciotomy for acute compartment syndrome |
| url | https://doi.org/10.1177/230949901202000309 |
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