Treatment of phlegmon of the foot of non-diabetic etiology, taking into account the assessment of the stage of development of acute tissue hypertensive syndrome (compartment syndrome)

Abstract

Clinical observations of 64 patients with phlegmon of the foot were analyzed. Patients consisted of two clinical groups. Group II (control n = 31) included patients in whom surgical treatment of phlegmon of the foot was performed in the traditional way. Group I (main n = 33) included patients who had been diagnosed with acute tissue hypertensive syndrome (compartment syndrome), and, according to the indications, decompressive fasciotomy was performed on the plantar surface of the foot. According to the original method (patent for invention No. 2554326). It was shown that the trigger for the development of compartment syndrome of the foot is an increase in tissue pressure by 20-25 mm Hg. from the initial level (8-10 mm Hg). The decompressive fasciotomy performed according to indications has a beneficial effect on the course of the wound process. At the same time, in patients of the first clinical group, after 6 months-1 year after surgery, good results were obtained in 92.8% (in control, 64.7%).