Abstract
Patients with unrecognized or untreated extremity compartment syndrome are at high risk of amputation and the rates following major extremity vascular injury are high. Despite this, no clear evidence exists supporting the use of prophylactic fasciotomy. The procedure itself is associated with significant morbidity. Risk factors such as ischemia time, location of injury, concurrent injuries, and hypotension should be used to stratify which patients are most likely to benefit.
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Hoehn, M., Brenner, M., Rasmussen, T.E. (2017). In Patients with Limb-Threatening Vascular Injuries, Is There a Role of Prophylactic Fasciotomy to Reduce Ischemic Injury?. In: Skelly, C., Milner, R. (eds) Difficult Decisions in Vascular Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-33293-2_17
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DOI: https://doi.org/10.1007/978-3-319-33293-2_17
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