After a subcutaneous fasciotomy for CECS, what closure technique is typically used?

After a subcutaneous fasciotomy for CECS, what closure technique is typically used?

• A. Skin grafting
• B. Delayed closure
• C. No closure
• D. Primary skin closure

Answer: (D)

After releasing the tight fascia in chronic exertional compartment syndrome, the aim is to return the wound to a protected, closed state once swelling has subsided. Primary skin closure is typically used because, with controlled edema, the skin edges can be approximated without excessive tension, leading to faster healing, lower infection risk, and avoiding the need for grafting. If swelling remains significant, surgeons might delay closure or leave the wound open for delayed closure or grafting, but in most cases the skin can be closed primarily.

After releasing the tight fascia in chronic exertional compartment syndrome, the aim is to return the wound to a protected, closed state once swelling has subsided. Primary skin closure is typically used because, with controlled edema, the skin edges can be approximated without excessive tension, leading to faster healing, lower infection risk, and avoiding the need for grafting. If swelling remains significant, surgeons might delay closure or leave the wound open for delayed closure or grafting, but in most cases the skin can be closed primarily.