Acute compartment syndrome treatment in 778 Orthopedic surgery clinics worldwide

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778 clinics specializing in Orthopedic surgery providing treatment of Acute compartment syndrome Acute compartment syndrome is a serious condition characterized by increased pressure within a muscle compartment, usually after injury or trauma. It can lead to restricted blood flow, nerve damage, and tissue death if not promptly treated.
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disease worldwide.

Africa · 7
Americas · 145
Asia · 216
Europe · 372
Oceania · 38
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Africa · 7 Americas · 145 Asia · 216 Europe · 372 Oceania · 38
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Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $6,756
  2. Total hip replacement (Unilateral)
    $17,961
  3. Arthroscopic meniscus repair
    ≈ $15,201
  4. Shoulder arthroscopy
    ≈ $12,798
  5. Rotator cuff repair
    ≈ $10,022
  6. Knee arthroscopy
    ≈ $11,828
  7. Arthroscopic reconstruction of the knee ligament
    $13,142
  8. Total knee replacement (Unilateral)
    $15,333
  9. SLAP repair surgery
    ≈ $16,148
photo
Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
The hospital is fully devoted to elevating its medical service quality by introducing state-of-the-art equipment and systems such as Robot surgery, Linear Accelerator, 3.0T MRI, read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $1,304
  2. Total hip replacement (Unilateral)
    $5,113
  3. Hip osteotomy
    ≈ $2,378
  4. Arthroscopic meniscus repair
    ≈ $423
  5. Shoulder arthroscopy
    ≈ $2,102
  6. Rotator cuff repair
    ≈ $1,321
  7. Knee arthroscopy
    $749
  8. Arthroscopic reconstruction of the knee ligament
    $2,043 - $3,385
  9. Total knee replacement (Unilateral)
    $5,113
photo
Almaty, Kazakhstan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
Languages: English, Russian
At the Almaty SEMA Hospital Clinic, you can get a full range of medical services provided by our leading specialists. Whether you need a small read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $3,714
  2. Total hip replacement (Unilateral)
    $8,649
  3. Arthroscopic meniscus repair
    ≈ $12,247
  4. Shoulder arthroscopy
    ≈ $9,232
  5. Rotator cuff repair
    ≈ $6,896
  6. Knee arthroscopy
    ≈ $6,128
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $11,406
  8. Total knee replacement (Unilateral)
    $8,649
  9. SLAP repair surgery
    ≈ $9,798
photo
Hong Kong, Hong Kong S.A.R.
Specializations: Vascular surgery, Spine surgery, Orthopedic surgery, Oncology
The Specialists Surgery and Endoscopy Centre (hereinafter referred to as “The Specialists”) is a safe, convenient and very pleasant endoscopy centre founded in 2006. read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $6,756
  2. Total hip replacement (Unilateral)
    from $13,142
  3. Total shoulder replacement
    ≈ $27,961
  4. Hip osteotomy
    ≈ $18,023
  5. Arthroscopic meniscus repair
    ≈ $15,201
  6. Shoulder arthroscopy
    ≈ $12,798
  7. Rotator cuff repair
    ≈ $10,022
  8. Knee arthroscopy
    from $8,761
  9. Arthroscopic reconstruction of the knee ligament
    ≈ $13,142
photo
Busan, South Korea
Specializations: Neurosurgery, Spine surgery, Orthopedic surgery
Languages: English, Russian
Since its opening in May 1993, Kang Dong Hospital has always strived to provide high-quality medical services as a patient-centered hospital. In order to become read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $6,107
  2. Arthroscopic meniscus repair
    ≈ $11,115
  3. Shoulder arthroscopy
    ≈ $11,432
  4. Rotator cuff repair
    ≈ $8,713
  5. Knee arthroscopy
    ≈ $7,622
  6. Arthroscopic reconstruction of the knee ligament
    ≈ $14,290
  7. SLAP repair surgery
    ≈ $15,242
  8. Latarjet procedure
    ≈ $7,112
  9. Arthroscopic shoulder remplissage procedure
    ≈ $9,573
photo
Abu Dhabi, United Arab Emirates
Specializations: Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
Languages: English
Dublin Health Services launched Seha Emirates Hospital in February 2012 as a boutique hospital providing global services in order to provide quality & patient-oriented Inpatient read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,115
  2. Hip osteotomy
    ≈ $2,506
  3. Arthroscopic meniscus repair
    ≈ $4,061
  4. Shoulder arthroscopy
    ≈ $2,695
  5. Rotator cuff repair
    ≈ $1,438
  6. Knee arthroscopy
    ≈ $1,627
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $3,660
  8. SLAP repair surgery
    ≈ $3,857
  9. Syndactyly surgery
    ≈ $3,228
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Hospital São Camilo Pompeia has followed, over the years, the growth of the population and the scientific and technological advances aimed at medical and read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,115
  2. Hip osteotomy
    ≈ $2,506
  3. Arthroscopic meniscus repair
    ≈ $4,061
  4. Shoulder arthroscopy
    ≈ $2,695
  5. Rotator cuff repair
    ≈ $1,438
  6. Knee arthroscopy
    ≈ $1,627
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $3,660
  8. SLAP repair surgery
    ≈ $3,857
  9. Syndactyly surgery
    ≈ $3,228
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Integrated into the São Camilo de São Paulo Hospitals Network in March 1979, the Santana Unit has an agile and modern structure implemented to offer read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,115
  2. Hip osteotomy
    ≈ $2,506
  3. Arthroscopic meniscus repair
    ≈ $4,061
  4. Shoulder arthroscopy
    ≈ $2,695
  5. Rotator cuff repair
    ≈ $1,438
  6. Knee arthroscopy
    ≈ $1,627
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $3,660
  8. SLAP repair surgery
    ≈ $3,857
  9. Osgood–Schlatter disease (OSD) surgery
    ≈ $971
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
A member of the Network since 2000, Hospital São Camilo Ipiranga has an emergency room for patients aged 12 years and over, an Intensive Care read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,115
  2. Hip osteotomy
    ≈ $2,506
  3. Arthroscopic meniscus repair
    ≈ $4,061
  4. Shoulder arthroscopy
    ≈ $2,695
  5. Rotator cuff repair
    ≈ $1,438
  6. Knee arthroscopy
    ≈ $1,627
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $3,660
  8. SLAP repair surgery
    ≈ $3,857
  9. Osgood–Schlatter disease (OSD) surgery
    ≈ $971
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Founded in 1968, the Mooca unit is known for being a highly complex Oncological Treatment Center and for having a renowned Clinical Research Center. In read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,115
  2. Total hip replacement (Unilateral)
    ≈ $6,502
  3. Total shoulder replacement
    ≈ $5,421
  4. Hip osteotomy
    ≈ $2,506
  5. Arthroscopic meniscus repair
    ≈ $4,061
  6. Shoulder arthroscopy
    ≈ $2,695
  7. Rotator cuff repair
    ≈ $1,438
  8. Knee arthroscopy
    ≈ $1,627
  9. Arthroscopic reconstruction of the knee ligament
    ≈ $3,660
photo
Rio de Janeiro, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Quinta D'Or Hospital opened in September 2001 and is located opposite Quinta da Boa Vista, in Rio de Janeiro. It emerged from the renovation read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,115
  2. Total hip replacement (Unilateral)
    ≈ $6,502
  3. Hip osteotomy
    ≈ $2,506
  4. Arthroscopic meniscus repair
    ≈ $4,061
  5. Shoulder arthroscopy
    ≈ $2,695
  6. Rotator cuff repair
    ≈ $1,438
  7. Knee arthroscopy
    ≈ $1,627
  8. Arthroscopic reconstruction of the knee ligament
    ≈ $3,660
  9. Total knee replacement (Unilateral)
    ≈ $5,654
photo
Belo Horizonte, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Lifecenter Hospital stands out among the most sophisticated and renowned health institutions in Minas Gerais. Its activities cover urgent and emergency medical care, surgeries, read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Total hip replacement (Unilateral)
    ≈ $11,773
  3. Total shoulder replacement
    ≈ $12,468
  4. Hip osteotomy
    ≈ $4,665
  5. Arthroscopic meniscus repair
    ≈ $2,320
  6. Shoulder arthroscopy
    ≈ $2,430
  7. Rotator cuff repair
    ≈ $3,011
  8. Knee arthroscopy
    ≈ $2,205
  9. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We invite you to visit one of the largest health institutions in the country… A sanatorium with history, but looking to the future. The Doctor read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Total hip replacement (Unilateral)
    ≈ $11,773
  3. Hip osteotomy
    ≈ $4,665
  4. Arthroscopic meniscus repair
    ≈ $2,320
  5. Shoulder arthroscopy
    ≈ $2,430
  6. Rotator cuff repair
    ≈ $3,011
  7. Knee arthroscopy
    ≈ $2,205
  8. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
  9. Total knee replacement (Unilateral)
    ≈ $11,324
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The British Hospital of Buenos Aires is a non-profit civil association that aims to provide the community with highly complex health care, train medical professionals read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Hip osteotomy
    ≈ $4,665
  3. Arthroscopic meniscus repair
    ≈ $2,320
  4. Shoulder arthroscopy
    ≈ $2,430
  5. Rotator cuff repair
    ≈ $3,011
  6. Knee arthroscopy
    ≈ $2,205
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
  8. SLAP repair surgery
    ≈ $6,119
  9. Elbow arthroscopy
    ≈ $2,485
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Hospital de Clínicas José de San Martín is the flagship teaching hospital in our country. Dependent on the University of Buenos Aires, read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Hip osteotomy
    ≈ $4,665
  3. Arthroscopic meniscus repair
    ≈ $2,320
  4. Shoulder arthroscopy
    ≈ $2,430
  5. Rotator cuff repair
    ≈ $3,011
  6. Knee arthroscopy
    ≈ $2,205
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
  8. SLAP repair surgery
    ≈ $6,119
  9. Hamstring syndrome surgery
    ≈ $3,364
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Ricardo Gutiérrez Children's Hospital is a highly complex, tertiary, reference hospital for the entire country and neighboring countries. Since its creation, in 1875, it read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Hip osteotomy
    ≈ $4,665
  3. Arthroscopic meniscus repair
    ≈ $2,320
  4. Shoulder arthroscopy
    ≈ $2,430
  5. Rotator cuff repair
    ≈ $3,011
  6. Knee arthroscopy
    ≈ $2,205
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
  8. SLAP repair surgery
    ≈ $6,119
  9. Lapidus arthrodesis
    ≈ $5,464
photo
Rosario, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
More than 100 years ago, on June 24, 1912, the Spanish Hospital was inaugurated in Rosario, driven by the demand for health care from Spanish read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Hip osteotomy
    ≈ $4,665
  3. Arthroscopic meniscus repair
    ≈ $2,320
  4. Shoulder arthroscopy
    ≈ $2,430
  5. Rotator cuff repair
    ≈ $3,011
  6. Knee arthroscopy
    ≈ $2,205
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
  8. SLAP repair surgery
    ≈ $6,119
  9. De Quervain's tendon release
    ≈ $1,378
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Pueyrredon Private Clinic was born in response to the need of Mar del Plata doctors who worked at that time as professionals in mutual read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $2,737
  2. Hip osteotomy
    ≈ $4,665
  3. Arthroscopic meniscus repair
    ≈ $2,320
  4. Shoulder arthroscopy
    ≈ $2,430
  5. Rotator cuff repair
    ≈ $3,011
  6. Knee arthroscopy
    ≈ $2,205
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $2,540
  8. SLAP repair surgery
    ≈ $6,119
  9. Arthroscopic jumper's knee surgery
    ≈ $2,503
photo
Córdoba, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We are a benchmark health care network in Argentina and we are committed to offering the world excellent medicine. Our Hospital is among the main read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $4,443
  2. Hip osteotomy
    ≈ $11,898
  3. Arthroscopic meniscus repair
    ≈ $11,163
  4. Shoulder arthroscopy
    ≈ $8,955
  5. Rotator cuff repair
    ≈ $6,615
  6. Knee arthroscopy
    ≈ $3,495
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $7,033
  8. SLAP repair surgery
    ≈ $9,728
  9. Carpal tunnel surgery
    ≈ $2,009
photo
Footscray, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Footscray Hospital is an acute teaching hospital with approximately 290 beds (following recent relocation of a number of services to Sunshine Hospital). It provides the read more
Prices for popular procedures:
  1. Fasciotomy of the lower limb
    ≈ $4,443
  2. Hip osteotomy
    ≈ $11,898
  3. Arthroscopic meniscus repair
    ≈ $11,163
  4. Shoulder arthroscopy
    ≈ $8,955
  5. Rotator cuff repair
    ≈ $6,615
  6. Knee arthroscopy
    ≈ $3,495
  7. Arthroscopic reconstruction of the knee ligament
    ≈ $7,033
  8. SLAP repair surgery
    ≈ $9,728
  9. Bow legs surgery
    ≈ $8,188
photo
Saint Albans, Australia
Specializations: Cardiac surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Sunshine Hospital is an acute and sub-acute teaching hospital with approximately 600 beds(including Mental Health beds managed by North West Mental Health). Sunshine Hospital has read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Berkana clinic in Moscow, Russia and 7 more, clinic with the most reviews number of 35757 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 285 clinics .

Countries with the highest number of clinics treating the diseases:

Acute compartment syndrome:

worldwide 778 clinics
United Kingdom 60 clinics
Australia 29 clinics
Colombia 28 clinics

Related procedures:

Procedures are likely to be used for Acute compartment syndrome treatment: Fasciotomy of the lower limb .

Acute Compartment Syndrome: Overview

Definition

Acute (myofascial) compartment syndrome is a pathological condition that is provoked by increased pressure in the fascial case, accompanied by ischemia and tissue necrosis due to blood supply disorders. It is manifested by a feeling of pressure, intense pain, pallor of the skin, weakening of the pulsation of peripheral arteries, and impaired sensation and movement in the affected limb. It is diagnosed based on complaints, anamnesis, examination data, and measurement of subfascial pressure. Treatment includes eliminating compression and prescription drugs to improve blood circulation and rheological properties. If indicated, fasciotomy is performed.

General information

This condition belongs to the category of polyetiological and can be diagnosed in trauma, rapidly growing tumors, and inflammatory processes. The exact prevalence is unknown; it is assumed that mildly expressed forms of the syndrome in traumatic injuries often remain unrecognized.

Reasons

The immediate cause of myofascial compartment syndrome is compression of blood vessels and impaired blood supply to tissues due to increased local pressure in the confined space of the fascial case. Due to anatomical peculiarities (robust fascia, space limitation by other structures), the anterior muscle-fascial spaces of the forearm and deep posterior and anterior spaces of the lower leg are most often affected. Less frequently affected are the thigh, shoulder, buttock, and back muscles. The main etiologic factors are considered to be:

  • Traumatic injuries. Occupy the first place in terms of prevalence. Large posttraumatic hematomas, dislocations and fractures of tubular bones, circular burns, and positional compression of the limb can cause the syndrome. Sometimes, the provoking factor is the premature circulation of the plaster cast with increasing traumatic edema, excessive skeletal traction, and osteosynthesis of fractures.
  • Late revascularization syndrome. Ischemic edema develops due to too long use of tourniquets during bleeding. A similar mechanism is observed in prolonged reconstructive interventions on arteries accompanied by forced disconnection of a certain vascular segment from the general blood flow.
  • Inflammatory processes. Compartment syndrome is sometimes potentiated by acute myositis of various etiologies. Muscle inflammation can be detected in acute respiratory viral infections, influenza, and specific infectious diseases tuberculosis, syphilis, becomes a consequence of toxic-allergic reactions to parasitic infections, or manifests as septicemia.
  • Neoplasms. In some patients, pathology is detected in rapidly growing tumors located in the thickness of the muscle or affecting nearby anatomical formations. In the latter case, the cause of edema is compression of vessels feeding the muscle, lymphatic flow disorders, and the reaction of surrounding tissues to the growth of neoplasia.

The literature describes cases when compartment syndrome affecting myofascial spaces developed after a snake bite, intraarterial, or intravenous injection of pressurized solutions. There is also a functional variant of the pathology—the so-called march syndrome, which occurs with a prolonged intensive load on the limb (walking transitions, practicing some sports), especially when using uncomfortably tight shoes. In renal dysfunction, the disease may be potentiated by renal edema.

Pathogenesis

A single mechanism of compartment syndrome formation, independent of the causes that caused it, has been established. Hematomas, ischemic tissue edema, external compression, and other factors increase interstitial pressure in the limited myofascial space. Usually, the pressure in the capillaries is about eight mmHg. When the interfascial pressure exceeds this indicator, gross blood circulation disorders occur in the capillary channel, and oxygen and nutrients stop flowing to the tissues.

Classification

In clinical practice, compartment syndrome is usually classified according to the degree of severity determined by clinical signs and intrafascial pressure measurements. If there is information about the time of pathology development, this approach allows us to make a relatively accurate preliminary assessment of the state of myofascial tissues and choose the optimal tactics for patient management. Three degrees of the condition are distinguished:

  • Mild. The distal parts of the limb are warm, and arterial pulsation is detected. The difference between diastolic pressure and pressure in the fascia case is about 40 mmHg.
  • Medium. The skin temperature on the affected side is decreased compared to the healthy arm or leg. Vascular pulsation is weakened. Finger sensitivity is impaired or lost. Interstitial pressure corresponds to diastolic pressure.
  • Severe. Pulsation of the main arteries is absent, sensation of the distal parts of the limb is lost. Subfascial pressure exceeds diastolic pressure.

Symptoms

There is increasing pain and progressive edema of the limb. The intensity of the pain syndrome does not correspond to the severity of the underlying pathology. Non-narcotic analgesics do not control pain; they increase with palpation and squeezing of the area of injury and passive movements in the distal parts of the limb. The skin over the affected area is taut, pale, and in severe cases - cold. Myofascial tissues are compacted. Subsequently, pulsation on the peripheral arteries weakens and then disappears, the sensitivity of the limb is reduced or lost, and frictions are formed on the skin.

Diagnosis

Usually, patients are under the supervision of an [orthopedic traumatologist] for the underlying disease, and compartment syndrome is detected in the process of dynamic observation or diagnosed as a complication of trauma at the time of admission. With combined traumatic injuries, shock, and unconsciousness of the patient, diagnosis can be difficult. To clarify the diagnosis, the following methods are used:

  • Physical examination. The circumstances of pathology development are generally apparent because they are caused by trauma, surgery, tight plaster cast, etc. Positional compression, prolonged tourniquet application, and some other causes require clarification of anamnesis.
  • Measurement of subfascial pressure. This method confirms the presence of compartment syndrome and excludes other conditions based on objective indicators. The results are of particular value if the patient is unconscious. It is performed using special devices or a system consisting of a syringe and Riva-Rocci apparatus. Measurements are carried out at certain points; the indicators are compared with diastolic pressure. A difference of 40 mm Hg or less indicates local compression of tissues.

Phlebography is prescribed to differentiate this disease from phlebothrombosis; the procedure results in compartment syndrome, revealing the narrowing of deep veins. In addition, differential diagnosis is performed with myositis of clostridial and non-clostridial etiology.

Treatment of acute compartment syndrome

Treatment is carried out as an emergency in the Department of Traumatology and Orthopedics and can be conservative or surgical. Immediately upon treatment or detection of signs of pathology in a hospitalized patient, measures are taken to eliminate compression of the affected segment. In case of excessive traction, reduce the weight of the load; in the presence of a tight, soft, or plaster bandage, perform its dissection. The leg is placed in an elevated position on the Bohler splint. The following treatment methods are used:

  • Drug therapy is indicated at the initial stages. Narcotic analgesics are administered to reduce the severity of pain syndrome. Vasodilators and drugs that improve the rheological properties of blood are prescribed to restore local blood flow. Loop diuretics are used to eliminate edema. When drawing up a plan of drug therapy, the reduced flow of drugs into the tissues due to impaired blood supply is taken into account.
  • Decompression fasciotomy. Dissection of the fascia to rapidly reduce tissue pressure can be therapeutic or prophylactic. Prophylactic fasciotomy is performed before the onset of signs of disease in conditions that are naturally complicated by compartment syndrome (usually with delayed vascularization). In the case of late-onset treatment, due to the formation of necrotic foci in the muscle tissue, medications and organ-preserving surgical interventions become ineffective. The following is indicated: necrectomy. If extensive necrotic changes develop, amputation or disarticulation of the limb is indicated.

Prognosis and prevention

The prognosis of myofascial compartment syndrome is determined by the severity of the pathology and the time of compression of muscle tissues. In case of rapid relief of local pressure increase, the function of the affected segment is fully restored. If the increased pressure persists for a long time, the outcome is contracture due to the formation of areas of necrosis and subsequent scarring. The formation of extensive necrotic foci, requiring cutting off the limb, is rarely observed. Preventive measures include preventing traumatism, early treatment of injuries, compliance with the rules of plaster bandages and first aid for bleeding, and limiting the duration of operations on vessels.

  • Isabella, Gonzalez
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