微创治疗足部急性骨筋膜室综合征：病例报告。
Minimal Percutaneous Release for Acute Compartment Syndrome of the Foot: A Case Report.
机构信息
Division of Orthopedic Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada.
Experimental Surgery, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
出版信息
JBJS Case Connect. 2022 Sep 8;12(3). doi: e21.00484. eCollection 2022 Jul 1.
CASE
A 34-year-old man had an injury which resulted in pilon fracture and acute compartment syndrome of his forefoot. The case report describes the use of a novel minimally invasive dorsal approach for decompression of the lateral, central, medial, and interosseous compartments. The release was performed through multiple small incisions on the dorsal foot. The patient had complete relief with normal function of all muscle groups at 6 weeks and is now 18 months after surgery. He has returned to full activity.
CONCLUSION
The successful decompression of the forefoot compartments through a percutaneous approach avoided known complications of muscle death, toe clawing, and secondary surgeries.
病例
一名 34 岁男性因外伤导致前足的 pilon 骨折和急性间隔综合征。病例报告描述了一种新的微创背侧入路用于外侧、中央、内侧和骨间间隔的减压。释放是通过在足背的多个小切口进行的。患者在 6 周时完全缓解，所有肌肉群的功能正常，现在术后 18 个月。他已经恢复了全部活动。
结论
通过经皮入路成功地对前足间隔进行减压，避免了已知的肌肉坏死、脚趾爪状畸形和二次手术的并发症。
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