Online ISSN: 2149-3189
2015
Monthly
Nicaea Medical Publishing
Türkiye

An earthquake reality: fasciotomy wounds and treatments

Hakan Erdoğan, Arzu Oto, Gamze Yerci, Gülcan Koçer, Burcu Menekşe, Berna Aktürk, Ümit Yıldırım, Şefika Elmas Bozdemir
DOI
https://doi.org/10.18621/eurj.1465494
Abstract
Earthquake-induced Crush Syndrome and subsequent acute kidney injury are important issues that affect morbidity and mortality. Fasciotomies prolong the length of stay in intensive care unit in patients with Compartment Syndrome due to the complications it causes. Infections and delayed wound healing are two common complications among these. Therefore, early closure of fasciotomy wounds is recommended. Although different treatments can be applied for treatment of wounds, data on this subject in pediatric patients are insufficient. We report the case of a 15-year-old girl who developed acute renal failure due to crush syndrome after being trapped in the wreckage for 9 hours and undergoing fasciotomy procedures for four locations, in the left extremity, two in the thigh and two in the cruris. Hemodialysis, antihypertensive, and antibiotic treatment were administered during the intensive care follow-up due to acute kidney injury, hypertension, and sepsis. With negative pressure therapy, silver alginate wound dressing, and hyperbaric oxygen therapy, all wounds epithelialized within two months. However, rehabilitation for drop foot syndrome caused by nerve cuts in the left extremity continues.
Keywords
Earthquake, fasciotomy wounds, negative pressure therapy (VAC), hyperbaric oxygen therapy
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How to Cite
1.
Erdoğan H, Oto A, Yerci G, et al. An earthquake reality: fasciotomy wounds and treatments. Eur Res J. 2024;10(6):644-651. doi:10.18621/eurj.1465494
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Vol. 10 No. 6 (2024)

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  • Article Type Case Report
  • Submitted February 21, 2026
  • Published November 3, 2024
  • Issue Vol. 10 No. 6 (2024)
  • Section Case Report
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