Kladny B, Nerlich M
Unfallchirurgische Klinik, Medizinischen Hochschule Hannover.
Unfallchirurg. 1991 May;94(5):249-53.
Compartment syndrome in the thigh is an uncommon condition. Most of the patients have multiple injuries. The main etiological factors are ipsilateral fractures of the femur and isolated severe soft-tissue injuries following blunt trauma. If the diagnosis is made clinically, compartment syndrome is treated by lateral incision of the thigh with incision of the fascia lata and the lateral intermuscular septum. Dermatofasciotomy does not lead to severe complications. In the follow-up there is no functional loss or neurological deficit. The indications for decompressive fasciotomy should be broad.
大腿骨筋膜室综合征是一种罕见的病症。大多数患者存在多处损伤。主要病因是股骨同侧骨折以及钝性创伤后孤立的严重软组织损伤。如果通过临床诊断出骨筋膜室综合征,则通过大腿外侧切口切开阔筋膜和外侧肌间隔进行治疗。皮肤筋膜切开术不会导致严重并发症。在随访中,没有功能丧失或神经功能缺损。减压筋膜切开术的指征应放宽。