Knight Justin R, Daniels Marissa, Robertson William
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.
Arthrosc Tech. 2013 May 23;2(2):e187-90. doi: 10.1016/j.eats.2013.02.002. Print 2013 May.
Exertional compartment syndrome of the leg is a condition that can cause chronic debilitating pain in active persons during a variety of aerobic activities. Nonoperative treatments using stretching protocols and activity modifications are often unsuccessful, and thus several operative strategies have been used to treat this condition. A novel technique for endoscopically assisted fasciotomy for chronic exertional compartment syndrome is described. By use of a small laterally based incision and an arthroscope, polydioxanone sutures are passed percutaneously along the anterior and lateral compartments with the Spectrum suture-shuttling device (ConMed Linvatec, Largo, FL). These sutures are used to retract the skin and subcutaneous tissues over the respective compartments. This method allows excellent visualization of the intercompartmental septum, the superficial peroneal nerve, and all perforating vessels. The anterior and lateral compartments can be safely and completely released with this minimally invasive approach. The patient is allowed to return to full activity at 6 weeks postoperatively, because of the decreased soft-tissue disruption.
小腿运动性骨筋膜室综合征是一种在多种有氧运动过程中会导致活跃人群出现慢性致残性疼痛的病症。采用拉伸方案和调整活动的非手术治疗方法往往不成功，因此已采用多种手术策略来治疗这种病症。本文描述了一种用于慢性运动性骨筋膜室综合征的内镜辅助筋膜切开术的新技术。通过使用一个小的外侧切口和关节镜，使用Spectrum缝线穿梭装置（康美医疗Linvatec公司，佛罗里达州拉戈）将聚二氧六环酮缝线经皮穿过前侧和外侧骨筋膜室。这些缝线用于在相应骨筋膜室上方牵拉皮肤和皮下组织。这种方法可实现对骨筋膜间隔、腓浅神经和所有穿支血管的良好可视化。通过这种微创方法可以安全、完全地松解前侧和外侧骨筋膜室。由于软组织损伤减少，患者术后6周即可恢复全面活动。
