Acute Compartment Syndrome of the Lower Extremity

Acute compartment syndrome (ACS) is well known amongst orthopaedic surgeons. The timely diagnosis and management of ACS is crucial to avoiding its sequelae, including renal failure, ischemic contractures, and limb loss. Despite its relative importance, ACS poses a challenge to many residents and clinicians as diagnosis relies largely on clinical judgment. This video will present the indications for compartment release and a video guided demonstration of compartment checks using an arterial line transducer, a four-compartment fasciotomy with two incisions, and temporizing vessel loop closure.