Treatment

Remove any restrictive casts, dressings, or bandages to relieve pressure.

Keep the extremity at the level of the heart to prevent hypo-perfusion.

Definitive treatment is immergence fasciotomy which is a procedure in which the fascia is cut open to relieve pressure in the muscle compartment.

Wound care

Wound management focuses on swelling control, allowing recovery of injured tissues, and minimizing skin retraction.

Wound evaluation and dressing is done every 24 to 72 hours.

If the wounds cannot be primarily closed within 7–10 days, split-thickness skin grafts (STSG) may be required when both the patient and the wound are stable.