Compartment Syndrome of the Leg
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A 13-year-old male sustained closed diaphyseal tibia and fibula fracture. Due to the inability to maintain reduction and presence of open physes, he underwent closed reduction and flexible nail fixation. Initially, the patient’s leg compartments were soft and supple, but postoperatively, he developed increasing pain with paresthesias and was diagnosed clinically with leg compartment syndrome. Intraoperative compartment pressures confirmed the clinical diagnosis requiring four-compartment leg fasciotomy. He later underwent delayed closure.
References and Suggested Reading
- Howard JL, Agel J, Barei D, et al. (2006) Challenging the dogma of the 7-cm rule: a prospective study evaluating incision placement and wound healing for tibial platfond fractures. Presented at Orthopaedic Trauma Association annual meeting, Phoenix, 5–7 Oct 2006Google Scholar