Forearm compartment pressures: an in vitro analysis of open and endoscopic assisted fasciotomy.

Published

Journal Article

Pressure reduction for standard open fasciotomy and a novel endoscopic fascial release were compared in experimental conditions of elevated forearm compartment pressures by continuously monitoring intracompartmental pressures in 22 cadaver forearms. Both methods were effective in diminishing tissue pressures. Intracompartmental pressures were reduced to significantly lower levels following open versus endoscopic assisted fasciotomy (2.9 mm Hg vs. 13.2 mm Hg). In the endoscopic group a statistically significant second decrease in pressure was observed after dermatomy, reducing intracompartmental tissue pressures from 13.2 mm Hg to 3.1 mm Hg. The results of this study suggest that endoscopic assisted fasciotomy can reduce elevated tissue pressures, confirming previous findings that fascial release is of primary importance in decreasing intracompartmental tissue pressures. Open fasciotomy, however, gave significantly greater decompression than the endoscopic technique, a difference that may be even more substantial in the clinical setting due to several limiting factors of this in vitro model. Our results also suggest that immediate skin closure following fasciotomy increased tissue pressure and therefore should be avoided.

Full Text

Duke Authors

Cited Authors

  • Havig, MT; Leversedge, FJ; Seiler, JG

Published Date

  • November 1999

Published In

Volume / Issue

  • 24 / 6

Start / End Page

  • 1289 - 1297

PubMed ID

  • 10584956

Pubmed Central ID

  • 10584956

International Standard Serial Number (ISSN)

  • 0363-5023

Digital Object Identifier (DOI)

  • 10.1053/jhsu.1999.1289

Language

  • eng

Conference Location

  • United States