Foot compartment syndrome treatment: a systematic review.

IF 2.6 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI:10.1007/s00264-025-06566-5

Mariana Tapia-Nañez, Humberto de Leon-Gutierrez, Neri Alejandro Alvarez-Villalobos, Jorge Gutierrez-de-la-O, Jose Felix Vilchez-Cavazos, Rodrigo Teran-Garza, Abraham Guadalupe Espinosa-Uribe, Santos Guzman-Lopez, Alejandro Quiroga-Garza, Rodrigo Enrique Elizondo-Omaña

{"title":"Foot compartment syndrome treatment: a systematic review.","authors":"Mariana Tapia-Nañez, Humberto de Leon-Gutierrez, Neri Alejandro Alvarez-Villalobos, Jorge Gutierrez-de-la-O, Jose Felix Vilchez-Cavazos, Rodrigo Teran-Garza, Abraham Guadalupe Espinosa-Uribe, Santos Guzman-Lopez, Alejandro Quiroga-Garza, Rodrigo Enrique Elizondo-Omaña","doi":"10.1007/s00264-025-06566-5","DOIUrl":null,"url":null,"abstract":"Purpose: To compare the treatment approaches for foot compartment syndrome (FCS) and evaluate their outcomes.Methods: A systematic review was conducted in MEDLINE, EMBASE, Mayo journals via OVID Databases, Web of Science, and Scopus from each database's inception to December 2024. Two reviewers, independently working in duplicate, assessed each manuscript's title, abstract, and full text for eligibility. Study characteristics, quality of evidence, and outcomes were obtained and analyzed.Results: A total of 45 articles were included in the qualitative analysis, 38 case reports, and seven cohort studies. Among the case reports, only two patients underwent conservative management, while all remaining cases, as well as all cohort studies, reported fasciotomy as the primary treatment. Trauma was the most frequently identified cause of FCS, and the diagnostic criterion commonly used was an intracompartmental pressure exceeding 30 mmHg. There was no consensus on the number or anatomical location of incisions. Due to the heterogeneity of the data, a meta-analysis could not be performed to assess the risk associated with different incision approaches.Conclusion: Fasciotomy remains the standard treatment for FCS. However, there is insufficient evidence to determine the optimal number and location of surgical incisions. While existing data suggest that using two or more incisions may be associated with fewer long-term sequelae, further research is needed to establish specificity of compartment decompression to enhance treatment recommendations.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2239-2249"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00264-025-06566-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To compare the treatment approaches for foot compartment syndrome (FCS) and evaluate their outcomes.

Methods: A systematic review was conducted in MEDLINE, EMBASE, Mayo journals via OVID Databases, Web of Science, and Scopus from each database's inception to December 2024. Two reviewers, independently working in duplicate, assessed each manuscript's title, abstract, and full text for eligibility. Study characteristics, quality of evidence, and outcomes were obtained and analyzed.

Results: A total of 45 articles were included in the qualitative analysis, 38 case reports, and seven cohort studies. Among the case reports, only two patients underwent conservative management, while all remaining cases, as well as all cohort studies, reported fasciotomy as the primary treatment. Trauma was the most frequently identified cause of FCS, and the diagnostic criterion commonly used was an intracompartmental pressure exceeding 30 mmHg. There was no consensus on the number or anatomical location of incisions. Due to the heterogeneity of the data, a meta-analysis could not be performed to assess the risk associated with different incision approaches.

Conclusion: Fasciotomy remains the standard treatment for FCS. However, there is insufficient evidence to determine the optimal number and location of surgical incisions. While existing data suggest that using two or more incisions may be associated with fewer long-term sequelae, further research is needed to establish specificity of compartment decompression to enhance treatment recommendations.

查看原文本刊更多论文

足筋膜室综合征的治疗：系统回顾。

目的：比较足部筋膜室综合征（FCS）的治疗方法并评价其疗效。方法：通过OVID数据库、Web of Science和Scopus对MEDLINE、EMBASE、Mayo期刊从各数据库建立至2024年12月进行系统评价。两名审稿人，独立工作的副本，评估每个稿件的标题，摘要和全文的资格。获得并分析了研究特征、证据质量和结果。结果：共纳入45篇定性分析，38例病例报告和7项队列研究。在病例报告中，只有2例患者接受了保守治疗，而其余所有病例以及所有队列研究均报道筋膜切开术为主要治疗方法。创伤是FCS最常见的病因，常用的诊断标准是室内压超过30mmhg。关于切口的数量和解剖位置没有一致意见。由于数据的异质性，不能进行荟萃分析来评估不同切口入路的相关风险。结论：筋膜切开术仍是FCS的标准治疗方法。然而，没有足够的证据来确定手术切口的最佳数量和位置。虽然现有数据表明，使用两个或更多切口可能与更少的长期后遗症相关，但需要进一步的研究来确定腔隙减压的特异性，以加强治疗建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.