TY - JOUR
T1 - Endoscopic Thermal Fasciotomy for Chronic Exertional Compartment Syndrome
AU - Voleti, Pramod B.
AU - Lebrun, Drake G.
AU - Roth, Cameron A.
AU - Kelly, John D.
N1 - Publisher Copyright:
© 2015 Arthroscopy Association of North America.
PY - 2015
Y1 - 2015
N2 - Chronic exertional compartment syndrome is an activity-induced condition that occurs when intracompartmental pressures within an osteofascial envelope increase during exercise, leading to reversible ischemic symptoms such as pain, cramping, numbness, or weakness. Nonoperative treatment options for this condition have shown limited success and are often undesirable for the patient given the requirement for activity modification. Traditional surgical treatment options involving open or subcutaneous fasciotomies have more favorable results, but these techniques are associated with significant morbidity. Endoscopically assisted fasciotomy techniques afford the advantages of being minimally invasive, providing excellent visualization, and allowing accelerated rehabilitation. The purpose of this article is to describe a technique for performing endoscopically assisted fasciotomies for chronic exertional compartment syndrome of the lower leg using an entirely endoscopic thermal ablating device. The endoscopic thermal fasciotomy technique is associated with minimal morbidity, ensures excellent hemostasis, and affords an early return to sports.
AB - Chronic exertional compartment syndrome is an activity-induced condition that occurs when intracompartmental pressures within an osteofascial envelope increase during exercise, leading to reversible ischemic symptoms such as pain, cramping, numbness, or weakness. Nonoperative treatment options for this condition have shown limited success and are often undesirable for the patient given the requirement for activity modification. Traditional surgical treatment options involving open or subcutaneous fasciotomies have more favorable results, but these techniques are associated with significant morbidity. Endoscopically assisted fasciotomy techniques afford the advantages of being minimally invasive, providing excellent visualization, and allowing accelerated rehabilitation. The purpose of this article is to describe a technique for performing endoscopically assisted fasciotomies for chronic exertional compartment syndrome of the lower leg using an entirely endoscopic thermal ablating device. The endoscopic thermal fasciotomy technique is associated with minimal morbidity, ensures excellent hemostasis, and affords an early return to sports.
UR - http://www.scopus.com/inward/record.url?scp=84947447673&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84947447673&partnerID=8YFLogxK
U2 - 10.1016/j.eats.2015.05.013
DO - 10.1016/j.eats.2015.05.013
M3 - Article
AN - SCOPUS:84947447673
SN - 2212-6287
VL - 4
SP - e525-e529
JO - Arthroscopy Techniques
JF - Arthroscopy Techniques
IS - 5
ER -