Compartment Syndrome of the Forearm Following Dermofasciectomy-A Rare and Devastating Complication

J Hand Surg Asian Pac Vol. 2019 Dec;24(4):491-493. doi: 10.1142/S2424835519720202.

Abstract

We present a case of compartment syndrome of the forearm following harvesting of a full thickness skin graft from the medial forearm for a double digit dermofasciectomy. The patient underwent forearm fasciectomy followed by multiple surgical debridements. At 18 months, despite intensive physiotherapy, the patient was left with a very significant residual functional deficit. This case highlights a previously undescribed but devastating complication of closure of a forearm skin graft donor site.

Keywords: Compartment syndrome; Dermofasciectomy; Dupuytren disease; Fasciotomy; Skin graft.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Compartment Syndromes / diagnosis
  • Compartment Syndromes / etiology
  • Compartment Syndromes / surgery*
  • Fasciotomy / adverse effects*
  • Forearm / surgery*
  • Humans
  • Male
  • Postoperative Complications*
  • Rare Diseases
  • Skin Transplantation / adverse effects*
  • Ultrasonography