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Evolution of Fasciotomy

Gold standard treatment of compartment syndrome is emergent fascial release (fasciotomy). There is no role for nonoperative management of true compartment syndrome. Fascial release allows for restoration of perfusion, and can halt muscle death and neural compression from progressing further. In the setting of bleeding disorders, or other identifiable and reversible causes, medical co-management is employed after fascial release has been performed. It is important that fascial release is complete and timely, as incomplete release can lead to further tissue damage.

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