Kluckner et al reported factors associated with the need to perform fasciotomy in a lower extremity following arterial trauma. This was performed to prevent an acute compartment syndrome. The authors are from Medical University Innsbruck.

Patient selection: lower extremity arterial vascular trauma


Predictors of the compartment syndrome and need for fasciotomy:

(1) male gender

(2) ischemia duration > 2.5 hours

(3) limb ischemia Rutherford grade IIa or greater

(4) popliteal artery segment 3

(5) transection or occlusion of the artery

(6) work-related trauma


Duration of ischemia was the strongest predictor.


The presence of multiple predictors can identify a patient who should be evaluated for fasciotomy.


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