Jones Christopher David, Addison Patrick R, Lam Wee Leon, Davidson Dominique M
Edinburgh Department of Plastic Surgery, St John's Hospital, Livingston, UK.
J Hand Surg Asian Pac Vol. 2019 Dec;24(4):491-493. doi: 10.1142/S2424835519720202.
We present a case of compartment syndrome of the forearm following harvesting of a full thickness skin graft from the medial forearm for a double digit dermofasciectomy. The patient underwent forearm fasciectomy followed by multiple surgical debridements. At 18 months, despite intensive physiotherapy, the patient was left with a very significant residual functional deficit. This case highlights a previously undescribed but devastating complication of closure of a forearm skin graft donor site.
我们报告一例在前臂内侧取全厚皮片用于双手手指皮肤筋膜切除术之后发生的前臂骨筋膜室综合征。患者接受了前臂筋膜切开术,随后进行了多次外科清创术。18个月时,尽管进行了强化物理治疗,患者仍遗留非常严重的残余功能缺陷。该病例凸显了一种前臂皮肤移植供区闭合的、此前未被描述但具有破坏性的并发症。