FLTL-001-UOM-001, Rev.1.1
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nerve.
f.
Leave incisions open if the swelling is too great to allow primary skin closure (skin
grafting is rarely needed if a full week is allowed for dissipation of edema).
3.2.2
Medial Incision Fasciotomy Procedure:
a.
Identify the posterior medial palpable edge of the tibia.
b.
Make a 15cm incision 2 cm posterior to the posterior medial palpable edge of the tibia.
c.
Separate the fibrous tissue anterior to the posterior tibial margin to avoid the saphenous
vein and nerve.
d.
The fascia of the deep posterior compartment is superficial here and readily accessible,
it should be opened distally and proximally under the belly of the soleus muscle.
e.
Through the same incision, the fascia of the superficial posterior compartment is opened
two centimeters posterior and parallel to the incision of the deep compartment.
f.
Leave incisions open if the swelling is too great to allow primary skin closure (skin
grafting is rarely needed if a full week is allowed for dissipation of edema).
Once a fasciotomy has been performed, the outer skin layer and fascias of the muscular
compartments will need to be replaced as described in Section 2.3 (Preparation for Use).
