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Managing missed lower extremity compartment syndrome in the physiologically stable patient: A systematic review and lessons from a Level I trauma center.

J Trauma Acute Care Surg

August 2016

From the Kennedy Institute of Rheumatology (G.E.G., J.N., A.J.), Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom; and the Department of Plastic and Reconstructive Surgery (G.E.G., R.M.T.S., J.S., G.L., A.J., S.P.H.) Imperial College Healthcare NHS Trust, London, United Kingdom.

Background: Decompressing an acute lower extremity compartment syndrome salvages muscle and nerve and preserves limb function. However, reperfusion of ischemic tissue causes a systemic insult that can be life threatening. Hence, the management of missed acute lower limb compartment syndrome remains controversial.

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