장축 압박 손상에 의한 수부, 수근부 및 전완부 다발성 분쇄 골절을 동반한 급성 구획증후군 - 1예 보고

Purpose: The objective was to demonstrate through one case which we experienced that acute compartment syndrome is a cause of severe forearm pain and upper limb dysfunction and that emergency decompression of the forearm compartment with sufficient extent can relieve the associated symptoms and minimize the sequelae.<BR> Materials and Methods: This article presents a case of forearm compartment syndrome with ipsilateral forearm, wrist, and hand injury by axial loading force which was treated with emergency multiple fasciotomy and open reduction. The follow up period was 7 months and 2 weeks.<BR> Results: Patient displayed excellent relief of forearm pain following decompression and open reduction and exhibited no neurological and circulatory deficits. Multiple fasciotomy wounds were managed by delayed repair of only the skin on the posterior aspect of forearm and dorsum of hand at 2 days after operation and by skin graft on the anterior aspect of forearm at 7 weeks after operation. Bone union was obtained 5 months after operation.