Vascular decompression. The critical element in forefoot crush injury

SV CoreyDepartment of Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia.

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LD CicchinelliDepartment of Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia.

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TE PittsDepartment of Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia.

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The authors present an overview of post-traumatic foot compartment syndrome with an emphasis on the importance of relieving vascular compromise immediately. The incisional approach selected should not only effectively decompress the foot, but also allow for repair of concomitant osseous and soft tissue injury as well. Vascular considerations may dictate the course of simultaneous fracture management.