Compartment Syndrome Of The Thigh - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Compartment Syndrome Of The Thigh - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition of compartment syndrome of the thigh. my new book about compartment syndrome https://www.amazon.com/dp/B0C51X2CWB?... Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Find me on Instagram @OrthoInitiative Compartment Syndrome of the Thigh The condition of increased pressure within the muscle compartment is called compartment syndrome. Acute compartment syndrome of the thigh is rare. In this illustrated case example, fracture of the femur causes increased pressure inside the thigh that requires fasciotomy. High suspicion for thigh compartment syndromes is recommended even in cases of minor trauma when anticoagulation therapy or hemophilia is involved. The anterior compartment of the thigh is the most commonly involved compartment. Measurement of the compartment pressure could be necessary. Fasciotomy is often necessary when the pressure within the muscle compartment is increased. Increase pressure is defined as an increase of absolute pressure to 30 mmHg or the pressure of the compartment is within 30 mmHg of the diastolic pressure. If the surgeon suspects compartment syndrome during surgery, the preoperative diastolic pressure and not the intraoperative diastolic pressure is used as a guide. Once the compartmental pressure becomes elevated as mentioned before, fasciotomy becomes necessary. Fasciotomy should be done urgently within a reasonable period of time in order to avoid ischemia of the muscles (should be done less than 6 hours from the onset of the compartment syndrome). To do fasciotomy of the thigh, incise the skin, the subcutaneous tissue, and the tensor fascia lata. You can also use the “pie crust” technique to cut the fascia, which are incisions in the fascia that is vertical to the longitudinal incision (about 90 degrees to the initial incision). This prevents the sharp edge of the tensor fascia lata from cutting into the muscle.