Editing Compartment syndrome (section)

=== Post-op management ===

* Goals:
** Prevent further muscle injury or necrosis until muscle swelling subsides sufficiently to permit closure
* Dress open wounds with dry gauze and a soft wrap and elevate
* If questionable viability, saline gauze with daily review and debridement
* Consider VAC if extensive drainage, but not preferable right afterwards
* Posterior splint of leg recommended to prevent foot drop
* Some fasciotomy incisions can be closed in 5-7 days, but avoid closing too soon
* Closure:
** Delayed primary closure - only for cases with minimal/non-existent muscle swelling, and don't generally do it early post-op
** Closure by secondary intention - only if medically or nutritionally ill-suited for other options
** Gradual dermal apposition
** STSG
** Myocutaneous flap coverage - for coverage of neurovascular structures or exposed bone in a limb that remains functional