CALCIFIC MYONECROSIS FOLLOWING COMPARTMENT SYNDROME - REPORT OF 2 CASES, REVIEW OF THE LITERATURE, AND RECOMMENDATIONS FOR TREATMENT

Calcific myonecrosis of lower extremity muscles has been identified as an uncommon late sequela of posttraumatic compartment syndromes or is chemic myonecrosis. Previous reports have detailed a small number of c ases with similar clinical and radiographic features. Two cases of cal cific myonecrosis diagnosed more than 30 years following trauma to an extremity are presented. Treatment consisted of serial debridement of all infected and necrotic tissue followed by wound closure using a rec tus abdominis muscle microvascular transplant in one patient and delay ed primary closure in the other. Both patients have resumed active lif estyles with no recurrence of drainage or infection. Aggressive debrid ement and definitive soft tissue coverage are the mainstay of effectiv e treatment for this entity.