Clinical
Case Report
Avoided Prophylactic Fasciotomy: Quantifying soft-tissue assessment for more confident clinical decision-making
Preliminary data – shared prior to publication with allowance by Prof. Dr. med. R. Sellei, Sana Klinikum Offenbach, Germany
Objective
Introduction
A 65-year-old male patient presented with a dislocated proximal tibial fracture following a high-energy direct-impact trauma.
At admission, the injured leg showed severe soft-tissue swelling and hemorrhagic blisters - raising immediate concern for acute compartment syndrome (ACS) and the potential need for fasciotomy.
Solution
To support decision-making, non-invasive soft-tissue compressibility measurements were performed using Compremium Quantis® ST on both the injured and healthy lower leg.
Result
Outcome & Conclusion
Objective Measurement: The CP-value of 18%, interpreted within the no risk green zone, combined with clinical findings, suggested no evidence of compartment at risk.
Clinical Decision: No prophylactic fasciotomy performed.
Management: The limb was stabilised using an external fixator as part of staged treatment before definitive fixation.
As a non-invasive, repeatable method, Quantis ST strengthens clinical confidence by adding quantitative soft-tissue information to the decisionmaking process, particularly in patients with suspected ACS.
