Foot Compartment Syndrome

Gajanan, Kantappa; Kannan, Ruben Y.; Brotherston, Michael

doi:10.1097/ta.0b013e31815eb17d

Cited by 4 publications

(3 citation statements)

References 2 publications

(2 reference statements)

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“…Foot compartment syndrome, although rare, can have devastating complications including contractures, paralysis, and amputation. The classically implemented plantar or medial incision for foot compartment release is associated with large residual scarring and morbidity 4,8 . Muscle fibrosis and contracture result in foot and ankle deformities ranging from the more common claw toes to complex soft-tissue impairment requiring salvage procedures 1 .…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, wide surgical releases have been used to accomplish compartment release. Open fasciotomy, however, has poor outcomes in the literature 8 . Alternatives to complete surgical fasciotomy for forefoot compartment syndrome were discussed by Myerson where they compared a dorsal approach versus a medial approach and showed that both achieved decompression 5 .…”

mentioning

confidence: 99%

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Minimal Percutaneous Release for Acute Compartment Syndrome of the Foot

Eddine

Schupbach

Honjol

et al. 2022

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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.Opinions, interpretations, conclusions, and recommendations are those of the author and are not necessarily endorsed by the Department of Defense.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Minimal Percutaneous Release for Acute Compartment Syndrome of the Foot

Eddine

Schupbach

Honjol

et al. 2022

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“…Only 1% of patients with an isolated calcaneal fracture are treated for ACS 7 . Currently, there is no reliable method to diagnose and treat foot compartment syndrome 8,9 . While seemingly a simple concept from a physics standpoint, the clinical presentation, diagnosis, and treatment of ACS present a more complex picture.…”

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confidence: 99%

Percutaneous Forefoot Decompression in a Foot Compartment Syndrome Model

et al. 2021

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Background:Acute compartment syndrome of the foot is a controversial topic. Release of the foot has been seen as complicated because of large incisions and postoperative morbidity, and there has been debate over whether this procedure is actually effective for releasing all areas of increased pressure. New sensor technology affords the opportunity to advance our understanding of acute compartment syndrome of the foot and its treatment. The purpose of the present study was to determine whether percutaneous decompression could be performed for the treatment of compartment syndrome in a forefoot model.Methods:The present study utilized a validated continuous pressure sensor to model compartment syndrome in human cadaveric feet. We utilized a pressure-controlled saline solution infusion system to induce increased pressure. A novel percutaneous release of the forefoot was investigated to assess its efficacy in achieving decompression.Results:For all cadaveric specimens, continuous pressure monitoring was accomplished with use of a continuous pressure sensor. There were 4 discrete compartment areas that could be reliably pressurized in all feet. The average baseline, pressurized, and post-release pressures (and standard deviations) were 4.5 ± 2.9, 43.8 ± 7.7, and 9.5 ± 3.6 mm Hg, respectively. Percutaneous decompression produced a significant decrease in pressure in all 4 compartments (p < 0.05).Conclusions:With use of continuous compartment pressure monitoring, 4 consistent areas were established as discrete compartments in the foot. All 4 compartments were pressurized with a standard pump system. With use of 2 small dorsal incisions, all 4 compartments were successfully released, with no injuries identified in the cutaneous nerve branches, extensor tendons, or arteries. These results have strong implications for the future of modeling compartment syndrome as well as for guiding clinical studies.Clinical Relevance:A reproducible and accurate method of continuous pressure monitoring of foot compartments after trauma is needed (1) to reliably identify patients who are likely to benefit from compartment release and (2) to help avoid missed or evolving cases of acute compartment syndrome. In addition, a reproducible method for percutaneous compartment release that minimizes collateral structural damage and the need for secondary surgical procedures is needed.

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Compartment Syndrome of the Foot

Yoon¹

2012

Techniques in Orthopaedics

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Foot Compartment Syndrome

Cited by 4 publications

References 2 publications

Minimal Percutaneous Release for Acute Compartment Syndrome of the Foot

Minimal Percutaneous Release for Acute Compartment Syndrome of the Foot

Percutaneous Forefoot Decompression in a Foot Compartment Syndrome Model

Compartment Syndrome of the Foot

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