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.