Master of Science
Dr. Dianne Bryant, Dr. Kevin Willits
This study was a case series of 46 patients (mean age 30 years (SD ± 13.0) who underwent fasciotomy for treatment of chronic exertional compartment syndrome (CECS). We prospectively collected long-term patient-reported functional outcome using the Lower Extremity Functional Scale (LEFS) and used existing pre-operative intracompartmental pressure testing data prior to and following exercise to determine the association between the LEFS and pre-operative pressure measurements At the time of follow-up, patients completed one LEFS questionnaire to assess their current health status, another to query their status at the time of best outcome, as well as a return-to-sport/satisfaction questionnaire.
In our sample of individuals who underwent fasciotomy for treatment of CECS, the immediate post-exercise pressure, 20 minute post-exercise pressure, and the number of months symptomatic prior to surgery were most predictive of functional outcome.
However, our model should be validated through confirmatory analysis before being adopted into clinical practice.
Pasic, Nick, "Assessing Long-Term Outcomes in Individuals Undergoing Fasciotomy for Chronic Exertional Compartment Syndrome of the Lower Leg" (2012). University of Western Ontario - Electronic Thesis and Dissertation Repository. Paper 795.