Clinical
Case Report
Quantify Soft Tissue: Avoided Prophylactic Fasciotomy
Preliminary data – shared prior to publication with allowance by Prof. Dr. med. R. Sellei, Sana Klinikum Offenbach, Germany
Objective
Introduction
Trauma Case Presentation
• 50-year-old male
• Dislocated, closed fracture of tibial head after high-energy trauma (Ski accident)
Fracture Treatment
• 5 days after soft tissue consolidation
• Open reduction and internal fixation (ORIF) with bone graft and locking plate
• Direct lateral approach with supportive arthroscopy
• No use of a tourniquet
Postoperative Findings
• Increasing pain levels in the affected knee
• Pain out of proportion
• Pain on passive stretch
• Post Operative swelling
Solution
Compressibility Measurements
To support decision-making, non-invasive soft-tissue compressibility measurements (CP-Value [%]) were performed using Compremium Quantis® ST on both the injured and the healthy lower leg.
Pre-operative: 0 h : 21% (contralateral side 28%)
Post-operative: +2h = 16% | +6h = 8% | +10h = 9% | +14h = 12% | +20h = 16% | 24h = 19%
Result
Outcome & Conclusion
Objective Assessment: Progressive return to pre-operative baseline compressibility values after surgery suggested soft-tissue recovery.
Clinical Decision: No fasciotomy was performed. Contralateral (control) side remained stable at 28 %. The patient achieved full functional recovery
