if tip of scissors has strayed from fascia, instrument is left in place and two centimeter incision is made over its tip & fasciotomy is superficial peroneal nerve exits from lateral compartment about 10 cm above lateral malleolus and courses into anterior distally direct scissors toward lateral malleolus inorder to keep instrument posterior to superficial peroneal nerve ![]() distally, avoid straying too medially so as too avoid injury to the dorsalis pedis proximally aim for the patella and distally to the center of the ankle inorder to ensure that the fasciotomy stays in anterior fascia is opened proximally & distally w/ long, blunt-pointed scissors blunt tipped scissors are used to spread above and below the fascia both proximally and distally after identifying septum, small nick is made in fascia of anterior intermuscular septum midway between the septum blunt tipped scissors are used to spread above and below the fascia on both sides of the intermuscular septum, both proximally tension is maintained on the fascia w/ a Kocher clamp attempt to identify the superficial peroneal nerve near the septum transverse incision is made over fascia of anterior & lateral compartments, which allows clear view of the intermuscular septum in the acute traumatic syndrome, a 15 cm incision is used in an elective chronic syndrome, a small 4-5 cm incision can be used incision is therefore placed over anterior intermuscular septum separating anterior & lateral compartments & Shaft, or alternatively placed halfway between the tibial crest and the fibula anterior & lateral compartments are approached thru single longitudinal incision placed halfway down leg 2 cm anterior to fibular Anterolateral Incision: (Two Incision Technique) Compartment Syndromes resulting from Tibial Fractures
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