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Am J Sports Med. 2002 Jul-Aug;30(4):581-8.

Long-term outcome of fasciotomy with partial fasciectomy for chronic exertional compartment syndrome of the lower leg.

Author information

1
Centre for Sports Medicine Research and Education, School of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Australia.

Abstract

BACKGROUND:

Fasciotomy with partial fasciectomy for compartment syndrome has had good short-term results, but no long-term studies have been performed.

HYPOTHESIS:

Combining a partial fasciectomy with fasciotomy for compartment syndrome relieves pain and eliminates symptoms in the long term.

STUDY DESIGN:

Retrospective cohort study.

METHODS:

A self-administered questionnaire was given to 62 patients at a mean follow-up of 51 months after surgery.

RESULTS:

Of the 50 patients who underwent a single operation, 60% (30) reported an excellent or good outcome. Average pain and pain-on-running were significantly reduced, although some subjects still reported considerable levels of pain. Fifty-eight percent (36 of 62) were exercising at a lower level than before injury and, of these, 36% (13) cited the return of their compartment syndrome or the development of a different lower leg compartment syndrome as the reason for a reduction in exercise levels. Some subjects indicated early initial improvement followed by subsequent deterioration.

CONCLUSION:

This surgical technique reduces pain and allows the majority of patients to return to sports; however, patients should be counseled that they may not be able to return to their preinjury level of exercise or remain pain-free.

PMID:
12130414
DOI:
10.1177/03635465020300041901
[Indexed for MEDLINE]

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