The clinical evaluation of decompressio fasciotomy for swollen extremities
10.4055/jkoa.1973.8.4.423
- Author:
Jea Whan AHN
;
Kun Young PARK
;
Moon Sik HAHN
- Publication Type:Original Article
- MeSH:
Burns;
Carpal Tunnel Syndrome;
Compartment Syndromes;
Decompression;
Extremities;
Gas Gangrene;
Myositis;
Orthopedics;
Poisoning;
Prognosis;
Seoul;
Snake Bites;
Tourniquets
- From:The Journal of the Korean Orthopaedic Association
1973;8(4):423-427
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
As a decompression means, the fasciotomy has been of good evaluation in many diseases such as impending V.I.C., ischemic myositis due to CO poisoning, snake bite, burn, anterior tibial compartment syndrome, carpal tunnel syndrome and gas gangrene, etc. From 1966 to 1973, 7 cases of snake bites and 5 cases of the ischemic myositis due to CO poisoning were treated at the Orthopedic Department of Seoul National University Hospital and the results were as follows; 1. All cases of the snake bites had got good results without any complication after the fasciotomy, while the fasciotomy performed in the ischemic myositis due to CO poisoning were not effective. 2. The time elapsed from the snake bite to the fasciotomy had a close relation to the prognosis. 3. In the 4 of 5 cases of the ischemic myositis due to CO poisoning, infections were superimposed on the fasciotomy sites. 4. The inappropriately continuous use of the tourniquet for hours after the snake bites caused worse prognosis.
