Idiopathic Acute Four-Compartment Syndrome of the Lower Leg

Zachary Jodoin, S. Sims, T. Petsche
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Abstract

This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Abstract Case: We present a case of acute idiopathic four-compartment syndrome of the leg, treated by four-compartment fasciotomy, and wounds left to heal by secondary intention due to persistent edema following surgery. Conclusion: This case highlights the importance of maintaining a high level of clinical suspicion for idiopathic spontaneous compartment syndrome presentation. This case also illustrates the variability of compartment syndrome treatment and recovery. The standard treatment for compartment syndrome is fasciotomy with delayed primary wound closure, but the patient elected to heal by secondary intention. The patient’s long term follow-up results showed positive outcomes.
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下肢特发性急性四室综合征
这是一份未经编辑的手稿的PDF文件,已被接受出版。作为对客户的服务,我们提供了这个手稿的早期版本。手稿将经过编辑,排版和审查的结果证明,然后以其最终形式出版。请注意,在制作过程中可能会发现可能影响内容的错误,所有适用于期刊的法律免责声明都适用。摘要病例:我们报告了一个急性特发性四室综合征的腿部病例,通过四室筋膜切开术治疗,伤口因手术后持续水肿而被二次意图愈合。结论:本病例强调了对特发性自发性筋膜间室综合征的临床表现保持高度怀疑的重要性。这个病例也说明了室室综合征治疗和恢复的可变性。筋膜间室综合征的标准治疗是筋膜切开术,延迟原发性伤口愈合,但患者选择了二次愈合。患者的长期随访结果显示出积极的结果。
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