Data Driven Reappraisal of Prophylactic Fasciotomy in Penetrating Lower Extremity Arterial Trauma
This single-center study challenges the routine use of prophylactic fasciotomy in penetrating lower extremity arterial trauma by demonstrating that the risk of developing compartment syndrome is significantly higher in popliteal artery injuries (43.4%) compared to femoral injuries (6.3%) and is not influenced by concomitant venous injury, thereby supporting injury-specific risk stratification over liberal surgical dogma.