Introduction:
Acute compartment syndrome in a tibial diaphyseal fracture has been a
prevalent finding after road traffic accidents and requires continuous
monitoring of the compartment pressures to avoid
complications.1 Inefficient monitoring and development
of the compartment syndrome can have excruciating ramifications such as
sensory loss, contractures, muscle death, amputation, and eventually
death.2
Considering the implications of acute compartment syndrome, a well-timed
fasciotomy is necessary to save the limb.3 However,
this fasciotomy leaves substantial skin incisions as open wounds, which
can be managed with primary closure using many methods available in the
domains of orthopedic and plastic surgery.4Additionally, the closed tibial diaphyseal fracture needs fixation due
to instability. An external fixator for managing this fracture is
considered superior due to internal fixation having a higher probability
of deep infection5.
The serial traction technique is one of the few novel methods to achieve
delayed primary fasciotomy wound closure. This technique provides a
cost-effective method for the closure of these
wounds.6 The Pasha device helps create the serial
traction technique using the Illizarov method and has been effective in
delayed primary closure of the fasciotomy wound.7
Our study focusses on a patient who had a closed tibial diaphyseal
fracture with a fasciotomy wound managed using the dermal traction
technique applied by a pasha device in a patient with vascular injury.
Previous studies have not applied this study to subjects with vascular
compromise.