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Grechenig, C; Valsamis, EM; Koutp, A; Hohenberger, G; di, Vora, T; Grechenig, P.
Dual-incision minimally invasive fasciotomy of the anterior and peroneal compartments for chronic exertional compartment syndrome of the lower leg.
Sci Rep. 2020; 10(1):18113 Doi: 10.1038/s41598-020-75268-2 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Führende Autor*innen der Med Uni Graz
Grechenig Peter Franz
Co-Autor*innen der Med Uni Graz
Hohenberger Gloria
Koutp Amir
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Abstract:
To evaluate the risk of iatrogenic injury when using a dual-incision minimally invasive technique to decompress the anterior and peroneal compartments of the lower leg. Forty lower extremities from 20 adult cadavers, embalmed with Thiel's method, were subject to fasciotomy of the anterior and peroneal compartment using a dual-incision minimally invasive fasciotomy. The first incision was made 12 cm proximal to the lateral malleolus to identify and protect the superficial peroneal nerve (SPN). The second incision was made at the mid-point of the Fibula (half-way between the fibular head and the lateral malleolus). Release of the anterior and peroneal compartments was successful in all specimens. Two nerve injuries of the superficial peroneal nerve were reported. More precisely, in these cases the medial dorsal cutaneous nerve got injured during the fascial opening of the extensor compartment. Two incision minimally invasive fasciotomy to decompress the anterior and peroneal compartments of the lower leg appears to be safe with regard to the results of this study.
Find related publications in this database (using NLM MeSH Indexing)
Adult - administration & dosage
Cadaver - administration & dosage
Chronic Exertional Compartment Syndrome - pathology, surgery
Fasciotomy - methods
Humans - administration & dosage
Leg - surgery
Lower Extremity - surgery
Minimally Invasive Surgical Procedures - methods
Peroneal Nerve - surgery

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