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Acute Compartment Syndrome of the Lower Leg and Foot
J Korean Foot Ankle Soc. 2013;17:165-173
Published online September 15, 2013
© 2013 J Korean Foot Ankle Soc.

Soo Uk Chae, M.D.

Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea
Correspondence to: Soo Uk Chae
Department of Orthopedic Surgery, School of Medicine, Wonkwang University, 344-2, Shinyong-dong, Iksan, 570-711, Korea
Tel: +82-63-472-5100 Fax: +82-63-472-5105 E-mail: oschae68@hanmail.net
Received July 5, 2013; Revised August 11, 2013; Accepted August 20, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
  Acute compartment syndrome of the lower leg and foot is a surgical emergency. The clinical symptoms is an important clue to diagnose compartment syndrome. In cases of ambiguous diagnosis, unconscious patients and children additionally need a intracompartmental pressure measuring. Immediate fasciotomy should be performed when clinical signs are obvious or when delta pressure is less than 30 mmHg or intracompartmental pressure is greater than 30 mmHg. Fasciotomy of the lower leg can be performed either by one lateral single incision or double incision, which of the foot mainly has a dorsal or medial incision. A delayed in diagnosis that leads to a delay in treatment can result in devastating disability. Acute compartment syndrome of the lower leg and foot is a relative rare but serious complication of which a surgeon should be aware.
Keywords : Lower leg, Foot, Acute compartment syndrome


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