Thursday, August 5, 2010

Lower Limb 4 Compartment Fasciotomy

Compartments:
- Anterior
- Lateral
- Superficial Posterior
- Deep Posterior

Lateral incision: (Over fibula)
- releases anterior and lateral compartments
- watch out for superficial peroneal nerve which can be in lateral but also anterior compartment near intermuscular septum

Medial incision: (2-3 cm medial to edge of tibia)
- releases superficial and deep posterior compartments
- incise superficial compartment then release soleus muscle from posterior edge of tibia to arrive at deep compartment
- watch for saphenous vein which is superficial and runs at the posterior edge of tibia
- watch out for posterior tibial neurovascular bundle and achilles tendon which runs in superficial posterior compartment

http://www.youtube.com/watch?v=-1NDJkFH1vM&feature=related
http://www.youtube.com/watch?v=6c5r5brMOso

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