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van der Werken C, Goris RJ, van der Kley AJ, et al. Weefseldecompressie ter preventie van ischaemische complicaties bij fracturen van het onderbeen. Een prospectief onderzoek. [Tissue decompression for the prevention of complications in fractures of the lower leg. A prospective study]. Acta Chir Belg. 1985;85(4):233-8
van der Werken, C., Goris, R. J., van der Kley, A. J., & Monstrey, S. J. (1985). Weefseldecompressie ter preventie van ischaemische complicaties bij fracturen van het onderbeen. Een prospectief onderzoek. [Tissue decompression for the prevention of complications in fractures of the lower leg. A prospective study]. Acta chirurgica Belgica, 85(4), 233-8.
van der Werken, C, et al. "Weefseldecompressie ter preventie van ischaemische complicaties bij fracturen van het onderbeen. Een prospectief onderzoek." [Tissue decompression for the prevention of complications in fractures of the lower leg. A prospective study]. Acta chirurgica Belgica vol. 85,4 (1985): 233-8.
van der Werken C, Goris RJ, van der Kley AJ, Monstrey SJ. Weefseldecompressie ter preventie van ischaemische complicaties bij fracturen van het onderbeen. Een prospectief onderzoek. [Tissue decompression for the prevention of complications in fractures of the lower leg. A prospective study]. Acta Chir Belg. 1985 Jul-Aug;85(4):233-8. Dutch. PMID: 4050255.
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Acta Chir Belg. 1985 Jul-Aug;85(4):233-8.

[Tissue decompression for the prevention of complications in fractures of the lower leg. A prospective study].

Acta chirurgica Belgica

[Article in Dutch]
C van der Werken, R J Goris, A J van der Kley, S J Monstrey

PMID: 4050255

Abstract

Short foot syndrome, a form of Volkmann contracture is a not so rare complication after fractures of the lower leg. Retrospectively we found this complication in 5.1% of our patients. This severe complication is prevented by early fasciotomy for decompression of tissues. Prospectively we studied the results of prophylactic fasciotomy of all 4 muscle compartments of the lower leg in patients with tibial or crural fractures at risk. In the three year period from 1981 to 1983 inclusive we treated 145 patients with 147 fractures of the lower leg. Fasciotomy was performed in 32 cases. In this period we saw only one patient with late sequellae of compartment syndrome. The technique of fasciotomy of all 4 compartments by one parafibular incision is described. Morbidity and postoperative complications are minor.

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