How is acute compartment syndrome treated in phlegmasia alba dolens (PAD) and phlegmasia cerulea dolens (PCD)?

Updated: Aug 13, 2018
  • Author: Cassius Iyad Ochoa Chaar, MD, MS, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

For patients with acute compartment syndrome, a four-compartment fasciotomy and decompression are required to prevent muscle necrosis. Finally, if all efforts fail, an amputation is required. It is best to delay the procedure as long as possible so as to reduce edema, allow venous channels to recanalize, and allow necrotic tissue to demarcate.


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