Journal Title: بهار 86 Article title: Fasciatomy for Crush Injury; the Results of Two Years Fallow up in Bam Earthquake
Article PDF File: Page From: 115 To: 122
Article abstract: Introduction & Objective: At 5:30 AM of 25th December 2003 a strong earthquake was occurred in Bam that led to 80 thousands death and traumatic patients. St Zahra hospital as a referral center admitted 255 patients in twenty patients because of soft tissue injury in upper and lower extremity fasciatomy were done.
The main aim of this study is evaluation of complication and outcome of these patients.
Material & Methods: In 20 cases of fasciatomy of 26 extremities were undergone fasciatomy. In 24 months of follow-up, sensation and motor function of limbs and ROM of joints were evaluated.
Results: All of patient after 24 months could walk without help and ROM of joints were within normal ranges. In 7 patients (11 extremities) the sensation were as hyposthesia or hyperesthesia. The others had good or normal sensation in extremities. Only in one patient because of radical debridment, sensation was present only in safenous dermatome. The rest patients had good sensation in palmar region.
Conclusions: Fasciatomy is not only a safe procedure but also necessary for limb salvages.
Fasciatomy also can preserve normal function of limbs. For best results, physical therapy and prosthesis usage is necessary for patients. Even if fasciatomy can not preserve limb function it must do, because of limb salvage.
