FLTL-001-UOM-001, Rev.1.1
13
Insert the 2” metal pin attached by a yellow string into the holes, securing both components into
place as illustrated in
Figure 21
.
Figure 21. Secure Metal Pin in Leg Shaft
3.2
Fasciotomy Procedure
A fasciotomy can be performed on each of the four compartments via 2 incisions (medial and
lateral). Each organization should perform the fasciotomy procedure in accordance with its
approved training guidelines. A general procedure outline is documented below.
3.2.1
Lateral Incision Fasciotomy Procedure:
a.
Identify the head of the fibula and lateral malleolus in order to determine the location of
the fibular shaft.
b.
Make a 15cm incision 2cm anterior to the fibular shaft. This places the incision
approximately over the anterior intermuscular septum.
c.
Make a small horizontal cut in the fascia over the septum, providing access to both the
anterior and lateral compartments.
d.
Open the fascia of the anterior compartment proximally and distally with blunt scissors.
e.
Open the fascia of the lateral compartment proximally and distally with blunt scissors.
Make the cuts in line with the fibular shaft. Directing the scissors towards the lateral
malleolus when cutting distally will help in avoiding damage to the superficial peroneal