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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Functional Outcomes After the Surgical Management of Isolated Anterolateral Leg Chronic Exertional Compartment Syndrome
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Functional Outcomes After the Surgical Management of Isolated Anterolateral Leg Chronic Exertional Compartment Syndrome

机译：孤立性前外侧腿慢性劳累室综合征的手术治疗后的功能结果

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Background: Failure rates of up to 20% have been reported after fasciotomy for chronic exertional compartment syndrome (CECS). There is some evidence that postoperative failure and complication rates are higher in the posterior compartments of the lower leg than the anterolateral compartments. Isolated compartment surgery may put patients at risk of requiring revision surgery because of the risk of developing posterior compartment disease. Hypothesis: Isolated anterolateral fasciotomy for CECS, in the absence of posterior compartment symptoms, produces satisfactory functional outcomes. Study Design: Case series; Level of evidence, 4. Methods: Between 2006 and 2012, patients who had positive intracompartment pressure-testing findings and who underwent isolated anterolateral fasciotomy release for CECS were given a self-administered questionnaire. The minimum follow-up was 3 years. The questionnaire addressed time to return to sport and ongoing symptoms. A visual analog scale was used to assess pain during exercise before and after surgery (score: 0, no pain; 10, worst pain imaginable); overall satisfaction with the procedure was assessed as well. Of 31 eligible patients, 20 patients (36 legs operated on) were assessed. Results: Postoperatively, 90% of participants returned to the same or higher level of sport. The mean pain score during exercise before surgery was 8.17, whereas it was 1.74 after surgery. The overall mean patient satisfaction score was 8.64. Only 1 leg (2.8%) went on to develop posterior compartment syndrome. Conclusion: Isolated anterolateral fasciotomy for CECS produced excellent functional outcomes. Our rate of recurrence was low compared with those found in the literature, and 90% of participants returned to their same or higher level of sport postoperatively.
机译：背景：据报道，慢性劳累性室间隔综合征（CECS）筋膜切开术后失败率高达20％。有证据表明，小腿后侧隔室的手术失败率和并发症发生率高于前外侧隔室。孤立的隔室手术可能会导致患者发生后部隔室疾病的风险，从而使患者处于需要进行翻修手术的风险中。假设：在没有后房症状的情况下，CECS的前外侧筋膜切开术可产生令人满意的功能结果。研究设计：案例系列;证据等级：4。方法：在2006年至2012年之间，对自闭室前壁筋膜切开术进行CECS的房间压力测试阳性的患者进行了自我管理的问卷调查。最小随访时间为3年。问卷调查了恢复运动的时间和持续的症状。视觉模拟量表用于评估手术前后运动期间的疼痛（评分：0，无疼痛; 10，可想象的最严重疼痛）;无痛感。还评估了对该程序的总体满意度。在31位合格患者中，评估了20位患者（36条腿已行手术）。结果：术后，90％的参与者恢复了相同或更高水平的运动。术前运动中的平均疼痛评分为8.17，而术后为1.74。总体平均患者满意度得分为8.64。仅1条腿（2.8％）继续发展为后室综合征。结论：CECS的前外侧筋膜切开术产生了出色的功能预后。与文献中发现的相比，我们的复发率很低，并且90％的参与者术后恢复了相同或更高水平的运动。

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