Back to Search Start Over

Symptomatic hernia of the thigh musculature requiring reconstruction: A rare late presenting sequela after fascial release for compartment syndrome

Authors :
Neel Vishwanath
Vinay Rao
Marten N. Basta
Scott T. Schmidt
Loree K. Kalliainen
Source :
Trauma Case Reports, Vol 35, Iss , Pp 100528- (2021)
Publication Year :
2021
Publisher :
Elsevier, 2021.

Abstract

Acute compartment syndrome (ACS) of the lower extremity is a surgical emergency, often secondary to severe crush injury, and requires immediate fascial release. In treatment of ACS, the underlying fascia is left unrepaired and the subsequent fascial defect does not generally cause negative consequences. Here, we present a 24-year-old man who developed symptomatic muscle herniation 3-years after undergoing fascial release secondary to ACS of the anterior thigh. Given the size of the defect, reconstruction was performed using Acellular Dermal Matrix (ADM). The patient did well, with no complications 6 months postoperatively. Symptomatic muscle herniation following fasciotomy can be treated with hernia reduction and fascial repair. When primary closure is not possible, Acelluar Dermal Matrix (ADM) is an option for successful fascial reconstruction.

Details

Language :
English
ISSN :
23526440
Volume :
35
Issue :
100528-
Database :
Directory of Open Access Journals
Journal :
Trauma Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.bc252a5c8f714b57af1a14de6657a119
Document Type :
article
Full Text :
https://doi.org/10.1016/j.tcr.2021.100528