{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:36:41Z","timestamp":1790095001908,"version":"4.0.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Previous single-center reports have demonstrated a longer time from traumatic leg injury to fasciotomy in pediatric trauma patients (PTPs) with compartment syndrome. We hypothesized most fasciotomies in isolated pediatric lower extremity trauma (LET) are delayed (\n                      <jats:underline>&gt;<\/jats:underline>\n                      6 hours from admission) and sought to investigate risk factors for pediatric fasciotomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The 2017-2020 TQIP database was queried for PTPs\n                      <jats:underline>&lt;<\/jats:underline>\n                      17 years old with isolated injury to the leg. The primary outcome was fasciotomy. A multivariable logistic regression analysis was performed to identify associated risk factors for fasciotomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 97,217 PTPs, 358 (0.4%) underwent a fasciotomy, with a majority being delayed (60.3%); the median time to fasciotomy was 9.6 hours. Patients undergoing fasciotomy were older (median age 14 vs 12\u00a0years,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), had a higher rate of severe LET (4.9% vs 1.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and had tibial fracture (70.7% vs 27.6%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). They also had increased rates of in-hospital complications (14.2% vs 0.6%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), limb loss (1.1% vs &lt;0.1%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and longer median length of stay (LOS) (5 vs 2 days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The most injured vessel in those undergoing fasciotomy was the popliteal artery (9.9%). Independent risk factors associated with fasciotomy included injuries to the popliteal vein (OR 30.72, CI 11.06-85.29,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), femoral vein (OR 18.19, CI 6.40-51.69,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and popliteal artery (OR 13.74, CI 8.45-22.34,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and tibial fracture (OR 7.46, CI 5.57-10.00,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Most fasciotomies were delayed for PTPs with isolated lower extremity injury. Popliteal vein injury increases the risk for fasciotomy 30-fold. Patients undergoing fasciotomy tend to have more complications and longer LOS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251331292","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T14:26:26Z","timestamp":1743517586000},"page":"998-1005","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Risk Factors and Timing of Fasciotomy for Isolated Pediatric Lower Extremity Trauma"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1544-8572","authenticated-orcid":false,"given":"Mennatalla","family":"Hegazi","sequence":"first","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffry","family":"Nahmias","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lekawa","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Dolich","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen","family":"Kong","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristobal","family":"Barrios","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areg","family":"Grigorian","sequence":"additional","affiliation":[{"name":"University of California"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.5507\/bp.2017.025"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.61B3.479251"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200511000-00003"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.55275\/JPOSNA-2021-252"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B2 .9799"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40719-014-0002-7"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.3936"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200109000-00025"},{"key":"e_1_3_6_10_2","unstructured":"Ormiston RV Marappa-Ganeshan R. Fasciotomy in StatPearls. Florida: StatPearls Publishing."},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000864"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.11.117"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.07.075"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000612"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.01.028"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000593"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.05.009"},{"key":"e_1_3_6_19_2","first-page":"4","article-title":"Compartment syndrome of the lower leg and foot","volume":"468","author":"Frink M","year":"2024","unstructured":"Frink M, Hildebrand F, Krettek C, Brand J, Hankemeier S. Compartment syndrome of the lower leg and foot. Clin Orthop. 2024;468:4.","journal-title":"Clin Orthop"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00285"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.07.243"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251331292","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251331292","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251331292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:35Z","timestamp":1777379855000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251331292"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/00031348251331292"],"URL":"https:\/\/doi.org\/10.1177\/00031348251331292","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}