Fasciotomy! Fash ee oh to me, my X-Men!

So today, I finally finished Stephen King’s ON WRITING, which got lost in a tote bag for months. And I learned that after the traffic collision that nearly ended his life, King had fasciotomies to his right leg. What this entails is cutting into the connective tissues around the leg muscles, to relieve pressure caused by swelling and tissue damage. If you don’t do this, the pressure in the limb can cut off circulation, leading to tissue loss and possible amputation.

Why is this interesting to me? Because after I broke my leg in high school, I had a fasciotomy on my own leg. I fractured that fucker so hard that I very nearly lost that leg at the knee. In my case, they cut open my leg and left it open for about 10 days so it could drain. (It was covered with a sterile dressing, but it was open so fluid could drain out.) Every day, someone came around and poured saline into it, to clean and sterilize the wound. One day, the cleaning happened at the same time my physical therapist came in. Since I couldn’t really feel my limb below the knee at that point, I always had to watch as I did my PT exercises, to make sure I was doing what they asked of me. So I watched as I flexed my ankle and a silvery clump of tissue in my leg expanded and contracted. Have you ever seen your own muscles move? I have. It’s fascinating and sickening all at once.

Incidentally, if you visit the wiki link I’ve posted here, you’ll see some gnarly photos of people recovering from fasciotomies, after skin grafts have been applied to the wound. Click the pictures, if you dare, and blow them up really big. That’s what my leg looked like for months my graft was applied. Pretty gross. I didn’t get laid much in high school.


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