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Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure in order to treat the resulting loss of circulation to an area of tissue or muscle. [1] Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. It is also sometimes used to treat chronic compartment stress syndrome.
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
The lower legs and the forearms are the most frequent sites affected by compartment syndrome. Other areas of the body such as thigh, buttock, hand, abdomen, and foot can also be affected. [ 19 ] [ 14 ] The most common cause of acute compartment syndrome is fracture of a bone, most commonly the tibia. [ 29 ]
The thickness of the fascia can give problems when any inflammation present in the leg has little room to expand into. Blood vessels and nerves can also be affected by the pressure caused by any swelling in the leg. If the pressure becomes great enough, blood flow to the muscle can be blocked, leading to a condition known as compartment ...
a) Fasciotomy and b) Escharotomy in a child with third degree burns. A motorized dermatome is used to make the incisons. An escharotomy is a surgical procedure used to treat full-thickness (third-degree) circumferential burns. In full-thickness burns, both the epidermis and the dermis are destroyed along with sensory nerves in the dermis.
Some complications are common for all types of leg associated surgery, while some are specific to popliteal bypass surgery. Complications include but not limited to the following: In the study of 6,007 people carried out popliteal bypass surgery, the overall rate of morbidity and mortality was 36.8% and 2.3% respectively within 30 days post ...
The fascia lata is an investment for the whole of the thigh, but varies in thickness in different parts. It is thicker in the upper and lateral part of the thigh, where it receives a fibrous expansion from the gluteus maximus, and where the tensor fasciae latae is inserted between its layers; it is very thin behind and at the upper and medial part, where it covers the adductor muscles, and ...
Lower limb. Foot. Cutaneous innervation of the lower limbs is the nerve supply to areas of the skin of the lower limbs (including the feet) which are supplied by specific cutaneous nerves. Modern texts are in agreement about which areas of the skin are served by which nerves, but there are minor variations in some of the details.