{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:20:03Z","timestamp":1790360403617,"version":"4.1.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T00:00:00Z","timestamp":1626652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Fasciotomy to treat or prevent compartment syndromes in patients with truncal or peripheral arterial injuries is a valuable adjunct. The objective of this study was to document the current incidence, indications, and outcomes of below knee fasciotomy in patients with femoropopliteal arterial injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The PROspective Observational Vascular Injury Treatment registry of the American Association for the Surgery of Trauma was utilized to identify patients undergoing two-incision four-compartment fasciotomy of the leg after repair of a femoropopliteal arterial injury. Outcomes after therapeutic versus prophylactic (surgeon label) fasciotomy were compared as was the technique of closure, that is, primary skin closure or application of a split-thickness skin graft (STSG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2013 to 2018, fasciotomy was performed in 158 patients overall, including 95.6% (151\/158) at the initial operation. In the group of 139 patients who survived to discharge, fasciotomies were labeled as therapeutic in 58.3% (81\/139) and prophylactic in 41.7% (58\/139). There were no significant differences between the therapeutic and prophylactic groups in amputation rates (14.8% vs. 8.6%, P = .919). Primary skin closure was achieved at a median of 5.0 days vs. 11.0\u00a0days for STSG ( P = .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over 55% of patients undergoing repair of an injury to a femoral or popliteal artery have a fasciotomy performed at the same operation. A \u201ctherapeutic\u201d indication for fasciotomy continues to be more common than \u201cprophylactic,\u201d while outcomes are identical in both groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211031860","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T08:26:38Z","timestamp":1626683198000},"page":"614-620","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Two Urgency Categories, Same Outcome: No Difference After \u201cTherapeutic\u201d vs. \u201cProphylactic\u201d Fasciotomy"],"prefix":"10.1177","volume":"89","author":[{"given":"Benjamin J.","family":"Moran","sequence":"first","affiliation":[{"name":"Department of General Surgery, Albert Einstein Medical Center, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan T.","family":"Quintana","sequence":"additional","affiliation":[{"name":"George Washington University Hospital, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Michael Scalea","sequence":"additional","affiliation":[{"name":"R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"DuBose","sequence":"additional","affiliation":[{"name":"R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David V.","family":"Feliciano","sequence":"additional","affiliation":[{"name":"R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"bibr1-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpsurg.2009.04.006"},{"key":"bibr2-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2009.01.001"},{"key":"bibr3-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.03.008"},{"key":"bibr4-00031348211031860","first-page":"29","volume-title":"Compartmental Syndromes","author":"Matsen FA","year":"1980"},{"key":"bibr5-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197511000-00007"},{"key":"bibr6-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000520"},{"key":"bibr7-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.06.006"},{"key":"bibr8-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-6691-7"},{"key":"bibr9-00031348211031860","first-page":"1533","volume":"64","author":"Ritenour AE","year":"2008","journal-title":"J Trauma"},{"key":"bibr10-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181e52333"},{"key":"bibr11-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31826fc71c"},{"key":"bibr12-00031348211031860","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.07.033"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211031860","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348211031860","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211031860","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:07Z","timestamp":1777379767000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348211031860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1177\/00031348211031860"],"URL":"https:\/\/doi.org\/10.1177\/00031348211031860","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,19]]}}}