Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

A condemnation of subcutaneous fasciotomy.

Publication ,  Journal Article
Illig, KA; Ouriel, K; DeWeese, JA; Shortell, CK; Green, RM
Published in: Mil Med
November 1998

Controversy exists regarding the indications and methods for lower-extremity fasciotomy. Two recent cases at our institution in which recurrent, acute limb-threatening ischemia occurred despite adequate fascial division have convinced us that in certain situations subcutaneous fasciotomy is clearly inadequate. In both patients, both of whom were young, intact healthy skin between the lower extent of the incision and the malleolus acted as a tourniquet, causing recurrent compartment syndrome as reperfusion edema occurred after initial repair. We believe that therapeutic fasciotomy in young patients with relatively noncompliant skin should include division of skin from the knee to the ankle on at least one side to prevent a tourniquet effect by intact skin at the ankle.

Duke Scholars

Published In

Mil Med

ISSN

0026-4075

Publication Date

November 1998

Volume

163

Issue

11

Start / End Page

794 / 796

Location

England

Related Subject Headings

  • Strategic, Defence & Security Studies
  • Recurrence
  • Male
  • Leg
  • Humans
  • Fasciotomy
  • Dissection
  • Compartment Syndromes
  • Adult
  • Adolescent
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Illig, K. A., Ouriel, K., DeWeese, J. A., Shortell, C. K., & Green, R. M. (1998). A condemnation of subcutaneous fasciotomy. Mil Med, 163(11), 794–796.
Illig, K. A., K. Ouriel, J. A. DeWeese, C. K. Shortell, and R. M. Green. “A condemnation of subcutaneous fasciotomy.Mil Med 163, no. 11 (November 1998): 794–96.
Illig KA, Ouriel K, DeWeese JA, Shortell CK, Green RM. A condemnation of subcutaneous fasciotomy. Mil Med. 1998 Nov;163(11):794–6.
Illig, K. A., et al. “A condemnation of subcutaneous fasciotomy.Mil Med, vol. 163, no. 11, Nov. 1998, pp. 794–96.
Illig KA, Ouriel K, DeWeese JA, Shortell CK, Green RM. A condemnation of subcutaneous fasciotomy. Mil Med. 1998 Nov;163(11):794–796.

Published In

Mil Med

ISSN

0026-4075

Publication Date

November 1998

Volume

163

Issue

11

Start / End Page

794 / 796

Location

England

Related Subject Headings

  • Strategic, Defence & Security Studies
  • Recurrence
  • Male
  • Leg
  • Humans
  • Fasciotomy
  • Dissection
  • Compartment Syndromes
  • Adult
  • Adolescent