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机器翻译字幕，仅供参考： this is the technique for and fasciotomy utilizing two incisions 这是一种用于筋膜切开术的技术， for compartments in prior to placing any incisions 在立即放置任何切口之前使用两个隔间切口 immediately or laterally mark the incisions for definitive fracture 或横向标记切口以进行最终骨折 fixation will help avoid any soft tissue complications secondary to skin bridges 固定，这将有助于避免继发于皮肤桥的任何软组织并发症， the distal and proximal fibula are then marked and connected with a straight 然后标记远端和近端腓骨并连接 一条 line this incision is more posterior than the intramuscular septum between 直线 此切口比前外侧隔间之间的肌内隔更靠后 the anterior and lateral compartments but allows for a healthy skin bridge ，但允许 between the medial and lateral incisions the incision is roughly one-half of the 内侧和外侧切口之间的健康皮肤桥接切口大约 length of the fibula however must be long enough to allow for an adequate 是腓骨长度的一半，但必须足够长 允许足够的 decompression the skin incision is made and then in size down to the fascia 减压 做皮肤切口，然后尺寸缩小到 you an anterior full-thickness flap is raised the fascia is then readily 筋膜 抬起前部全层皮瓣然后很容易 identifiable you a transverse fascial incision is made across what is the suspected 识别筋膜 intermuscular septum between the anterior and lateral compartments 和侧隔间 you 你 hemostat is then used to probe the inner muscular septum 止血剂然后你 sed 探查内部肌肉 the foot is then plantar flexed and dorsiflexed followed by inversion 隔膜 然后足底弯曲和背屈，然后倒置 e-version this confirms the anterior and lateral compartments the fashion of the e-version 这证实了前部和侧部隔室的 lateral anterior compartments are then incised with care to keep the scissors 方式 然后小心地切开外侧前部隔室，以保持剪刀 aiming away from the intramuscular septum to avoid superficial peroneal 远离肌内隔 为避免腓浅 nerve damage full release or the fashion is carried out 神经损伤 完全释放或 you upon releasing all four sections the viability of the muscle is then checked 在释放所有四个部分后进行时尚检查 然后检查肌肉的活力 the lateral fasciotomy is now complete an alternative technique is to identify 外侧筋膜切开术现已完成 另一种技术是 the superficial peroneal nerve at the area of the inner muscular septum to 在内侧区域识别腓浅神经肌肉隔膜以 confirm the septum between the anterior and lateral compartments the superficial 确认前部和侧部之间的隔膜 and deep posterior compartments can be accessed via a medial incision and 可以通过内侧切口进入浅表和深部后部隔室并 approach the posterior border the tibia is palpated and marked if known at the 接近后缘触诊和标记胫骨（如果当时知道 time a fasciotomy definitive fixation incisions can be drawn out to allow for 的话） 可以拉出筋膜切开术最终固定切口 允许 adequate skin bridges the incisions then made one centimeter 足够的皮肤桥接公司 然后在胫骨后缘后方 1 厘米处 posterior to the posterior border of the tibia the skin incision is carried down to the su 进行切口 将皮肤切口向下进行到 sure 确保 you an anterior flap is raised care is taken to protect the saphenous vein the fashio 您抬起前皮瓣注意保护大隐静脉 to the superficial posterior compartment is in size approximately and distally 浅后侧室的大小大约和远端 the incision was carried down using the Metzenbaum scissors 切口是使用 Metzenbaum 剪刀向下进行的， you 您使用 a cob elevator is used to release the origin of the gastro soleus complex off 一个玉米棒升降机将比目鱼肌复合体的起源 the posterior tibia the fibers of the deep posterior compartment are now 从胫骨后部释放 现在识别后深隔室的纤维 identified and run in line with the tibia 并与胫骨对齐 做 a small incision is made along the posterior border of the tibia the Cobb 一个小切口沿着胫骨的后缘， elevator is then used to advance subperiosteal a in line with the 然后使用 Cobb 提升器将骨膜下 a 推进到与 posterior tibia to release the deep posterior compartment 胫骨后部对齐，以便在充分止血后释放深后部隔室 you after adequate hemostasis a spanning extern fixers applied for unstable fractures in conjunction with vacuum assisted closure medially and laterally you 你
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