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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.
Chronic compartment syndrome in the lower leg can be treated conservatively or surgically. Conservative treatment includes rest, anti-inflammatory medications, and manual decompression. Warming the affected area with a heating pad may help to loosen the fascia prior to exercise. Icing the area may result in further constriction of the fascia ...
The deep fascia of leg or crural fascia forms a complete investment to the muscles, and is fused with the periosteum over the subcutaneous surfaces of the bones.. The deep fascia of the leg is continuous above with the fascia lata (deep fascia of the thigh), and is attached around the knee to the patella, the patellar ligament, the tuberosity and condyles of the tibia, and the head of the fibula.
Identifying the level of entrapment is an important consideration for surgery as decompressing the wrong area will lead to a failed surgery (e.g. performing back surgery for extra-spinal sciatica), [2] [3] failure to treat nerve entrapment early can lead to permanent nerve injury, [4] and the patient may be unnecessarily exposed to surgical ...
Myotomy · Tenotomy · Fasciotomy: Muscle biopsy · Amputation · Tendon transfer: Breast: Mammoplasty: Lumpectomy · Mastectomy: Breast implant · Mastopexy · Breast reconstruction · Breast reduction plasty: Skin: V-plasty · VY-plasty · W-plasty · Z-plasty: Escharotomy: Skin biopsy: Other/ungrouped
A diagnosis of functional PAES is made if symptoms are improved after Botulinum injection. However, If symptoms are persisted, the patient can undergo an additional Botulinum injection or proceed with surgical decompression. [27] The outcome following the surgery is usually favorable. Successful resolution of PAES occurs in 77 percent of cases ...
A Cochrane review found that complete pain relief in 85-100% of neurectomy cases and 60-99% of decompression cases. [2] The revision rate for nerve decompression is 12% and a revision was either a repeat decompression or neurectomy. The revision rate for neurectomy is approximately 0%. [8]