Patient-Reported Outcomes Following Fasciotomy for Chronic Exertional Compartment Syndrome.

Autor:	Maher JM; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (JMM, EM Brook, CC, JS, EM Bluman, EGM).; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts (CC, JS, EM Bluman, EGM)., Brook EM; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (JMM, EM Brook, CC, JS, EM Bluman, EGM).; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts (CC, JS, EM Bluman, EGM)., Chiodo C; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (JMM, EM Brook, CC, JS, EM Bluman, EGM).; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts (CC, JS, EM Bluman, EGM)., Smith J; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (JMM, EM Brook, CC, JS, EM Bluman, EGM).; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts (CC, JS, EM Bluman, EGM)., Bluman EM; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (JMM, EM Brook, CC, JS, EM Bluman, EGM).; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts (CC, JS, EM Bluman, EGM)., Matzkin EG; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (JMM, EM Brook, CC, JS, EM Bluman, EGM).; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts (CC, JS, EM Bluman, EGM).
Jazyk:	angličtina
Zdroj:	Foot & ankle specialist [Foot Ankle Spec] 2018 Oct; Vol. 11 (5), pp. 471-477. Date of Electronic Publication: 2018 Jun 22.
DOI:	10.1177/1938640018783496
Abstrakt:	Background: Lower extremity chronic exertional compartment syndrome (CECS) can negatively affect exercise and activity and may require operative intervention to release the fascia. Few studies have evaluated or compared patient-reported outcomes for bilateral versus single-leg staged fasciotomy and number of compartments released. Methods: A total of 27 eligible patients who underwent a fasciotomy procedure for CECS at a single institution were identified. A retrospective review of the medical record was performed, and individuals were contacted by phone to collect patient-reported outcomes, including ability to return to desired exercise level, postoperative expectation assessment, European Quality of Life-Five Dimensions, and the Foot and Ankle Ability Measure sports subscale. Results: A total of 21 patients were available for follow-up (average follow-up 36.9 months). The average single numeric assessment evaluation of lower-extremity function in sport was 87.5% in those who underwent a simultaneous bilateral fasciotomy (n = 10), 94% in those who had a staged unilateral fasciotomy (n = 5), and 74% in those who underwent an isolated single-leg fasciotomy. In all, 91% (n = 10) of patients who had all 4 compartments released intra-operatively were able to return to their desired exercise level versus 66.7% (n = 6) of those who did not have all 4 compartments released. Conclusion: The patient-reported outcomes of a staged unilateral fasciotomy and simultaneous bilateral fasciotomy for CECS are similar. Those who did not have all 4 compartments released reported worse outcomes. Further research should be conducted on the short-term outcomes and cost-effectiveness of a bilateral versus staged fasciotomy procedure. Levels of Evidence: Level IV: Case series.
Databáze:	MEDLINE
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