Endoscopic Thermal Fasciotomy for Chronic Exertional Compartment Syndrome

Pramod B. Voleti, Drake G. Lebrun, Cameron A. Roth, John D. Kelly

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)e525-e529
JournalArthroscopy Techniques
Volume4
Issue number5
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

Compartment Syndromes
Hot Temperature
Morbidity
Hypesthesia
Hemostasis
Leg
Rehabilitation
Exercise
Pressure
Pain
Equipment and Supplies
Fasciotomy
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Endoscopic Thermal Fasciotomy for Chronic Exertional Compartment Syndrome. / Voleti, Pramod B.; Lebrun, Drake G.; Roth, Cameron A.; Kelly, John D.

In: Arthroscopy Techniques, Vol. 4, No. 5, 2015, p. e525-e529.

Research output: Contribution to journalArticle

Voleti, Pramod B. ; Lebrun, Drake G. ; Roth, Cameron A. ; Kelly, John D. / Endoscopic Thermal Fasciotomy for Chronic Exertional Compartment Syndrome. In: Arthroscopy Techniques. 2015 ; Vol. 4, No. 5. pp. e525-e529.
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