Multiple Small Incisions For Treatment Of Early Osteofascial Compartment Syndrome Of Limbs In Children Caused By Snake Bites

Objective: To explore the clinical application value of multiple small incisions for treatment of early acute osteofascial compartment syndrome of limbs in children caused by snake bites.Methods: From 2010 to 2018,75 pediatric patients with early osteoscial compartment syndrome of limbs(including forearm,hand,foot,and lower leg)caused by snake bites,were admitted into our department and treated with multiple small incisions for decompression at the early stage.Record the skin color,swelling,and pain of the affected limb before and after the incision for decompression operation;the operation time,bleeding volume;postoperative wound healing time;long-term follow-up of the appearance,sensation and function of the affected limb.Results: After the operation,the skin color of the affected limb improved significantly,the swelling subsided significantly,and the pain was significantly relieved.The average procedure time was 26.9±16.7minutes.Bleeding volume 11.3 ± 9.8ml.No postoperative incision infections or neurovascular injuries were observed in all the patients.The incisions completely healed in 9.2±2.5 days without secondary suture.The patients were followed up for an average of 6 years.No Volkmann ’ s contractures in the injured climbs were found.The sensation and function of the affected limb are completely restored.Conclusion: Multiple small incisions for decompression is a simple and effective way to treat early osteofascial compartment syndrome of limbs in children caused by snake bites.