Surgical Fasciotomies for Pediatric Acute Compartment Syndrome, and Overview

Abstract

Introduction: The goal of treatment is firstly to save the patient's life and secondly to save the damaged climb. Fasciectomy is the only accepted treatment for compartment syndrome and should be performed promptly after the diagnosis is made. The results after fasciectomy are best when there is no delay in treatment. Method: Clinically determined according to the "5 P's" and measured Intracompartmental Pressure (ICP) with P ≥ 30 mmHg. Perform traditional Fasciotomies surgery on all patients. Results: There were four patients; Mean age: 54 months ± 31.749; Girl: 03; Boy: 01; Fall from hight: 2; Sport trauma: 01; Pedestrian in a car accident: 01; Mean - Intracompartmental Pressure (ICP): 53.75 mmHg.The most common mechanisms of injury are pedestrians struck by motor vehicles, falls, sports, and vehicle occupants in motor vehicle crashes. Forearm fractures are the most common cause in the upper extremity, and fractures of the tibia and/or fibula are most common in the lower extremity. Conclusions: Fractures significantly increase the risk of developing compartment syndrome in both forearm and leg fractures. The patients were transferred directly from the emergency room to the operating room, suggesting that the remaining developed compartment syndrome after admission or late diagnosis.