Reconstruction of the foot after leg or foot compartment syndrome.
Compartment syndrome should be treated early and aggressively to prevent late complications. Patients may have late deformity because of a failure of diagnosis, inadequate decompression, or a delay in fasciotomies. Late reconstruction will allow a plantigrade and relatively functional foot. Complete excision of scarred muscle will prevent recurrence in established deformities. Early treatment may prevent significant functional impairment by well-placed tenotomies. In patients with severe long-term deformities with extensive soft tissue contraction, incremental correction may be an appropriate intermediate intervention.
Perry
Mark D
MD
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8883, USA. Mark.Perry@UTSouthwestern.edu
Manoli
Arthur
A
D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery*; D018409:Foot Injuries / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000150:complications* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*