Technical TrickSingle-Incision Fasciotomy for Compartmental Syndrome of the Leg in Patients With Diaphyseal Tibial FracturesMaheshwari, Rajshri MD; Taitsman, Lisa A MD, MPH; Barei, David P MD, FRCSCAuthor Information From the Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Seattle, WA. Accepted for publication September 17, 2008. No financial support of this project has occurred. The authors have received nothing of value. The devices that are the subject of this article are Food and Drug Administration approved. Study performed at Harborview Medical Center, Seattle, WA. Reprints: David P. Barei, MD, FRCSC, Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Box 359798, 325 Ninth Avenue, Seattle, WA 98104 (e-mail: [email protected]). Journal of Orthopaedic Trauma: November 2008 - Volume 22 - Issue 10 - p 723-730 doi: 10.1097/BOT.0b013e31818e43f9 Buy Metrics Abstract Diaphyseal fractures of the tibia are occasionally associated with compartmental syndrome of the leg. Current treatment includes surgical decompression of all involved compartments, debridement of nonviable muscle tissue, and skeletal stabilization. Numerous methods of fasciotomy have been described in the literature, with most surgeons favoring the two-incision method. The single-incision, 4-compartment fasciotomy is an alternative method but has received little attention in the orthopaedic literature. We detail the surgical technique for the single-incision, 4-compartment fasciotomy of the leg without fibulectomy and report its usage in the management of diaphyseal tibial fractures with compartmental syndrome. © 2008 Lippincott Williams & Wilkins, Inc.