RESUMEN
Acute compartment syndrome of the extremities is a surgical emergency and a rapid diagnosis and immediate surgical treatment are essential for the outcome. The cause is an increase in the tissue pressure inside a muscle compartment enclosed by fasciae and the resulting disruption of microperfusion. This can have potentially disastrous consequences, such as loss of the extremity due to extensive tissue necrosis or a threat to life due to infectious complications. Although mostly triggered by trauma, a multitude of other causes can lead to the formation of a compartment syndrome, so that a basic knowledge of this condition is of great importance not only for trauma surgeons. This is particularly true because a timely treatment necessitates rapid diagnosis and evaluation of the indications. This article provides an overview of the underlying pathophysiology, the causes, the symptoms and the treatment of acute compartment syndrome.
Asunto(s)
Síndromes Compartimentales , Sistema Musculoesquelético , Cirujanos , Humanos , Extremidades/lesiones , Extremidades/cirugía , Síndromes Compartimentales/diagnóstico , Síndromes Compartimentales/etiología , Síndromes Compartimentales/cirugía , MúsculosRESUMEN
Seven cases of arterialized venous skin flaps for the treatment of both skin defects in the fingers, and digital arterial defects, are presented. The method involves taking the skin flaps along with a subcutaneous vein from the flexor side of the distal forearm or the dorsal aspect of the foot, and interpositioning the vein in the flap between the missing digital artery, to cover the skin defect as well as to restore blood circulation. The size of the flaps ranged from 1.0 x 1.0 cm to 4.5 x 3.0 cm. Almost complete survival of flaps was achieved in all cases. This method does not sacrifice any portion of the digital artery, and is also an excellent technique for restoring blood circulation and reconstructing skin defects simultaneously.
