Fasciotomy

Lower Leg
  • Medial incision is one figer breadth posterior to medial edge of the tibia for posterior deep and posterior superficial compartments.
    • preserve saphenous vein
    • Open fascia above superficial posterior compartment.
    • Remove soleus muscle fibers from tibia to enter deep posterior compartment (can identify neurovascular bundle).
  • Lateral incision is one finger breadth anterior to fibulafor anterior and lateral compartments.
    • Identify intercompartment septum.
    • Open fascia in "H" type incision to open both compartments.