RUDN Journal of MedicineRUDN Journal of Medicine2313-02452313-0261Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)2047710.22363/2313-0245-2018-22-4-464-469Short CommunicationCHANGE OF PRESSURE INSIDE THE SUPERFICIAL POSTERIOR MUSCULAR-FASCIAL COMPARTMENT OF THE LEG AFTER CALF AUGMENTATION WITH GEL-FILLED SILICONE IMPLANTSMarinichevaI G<p>PhD in Medicine, associate Professor, Peoples Friendship University of Russia (RUDN University)</p>irina@marinicheva.ruMeladzeZ Eirina@marinicheva.ruPeoples’ Friendship University of Russia (RUDN University)1512201822446446906022019Copyright © 2018, Marinicheva I.G., Meladze Z.E.2018<p>Purpose: The purpose of the study was to examine the degree of tissue compression and evaluate the safety of installation of a volume gel-filled implant inside the superficial posterior muscular-fascial compartment of the legs. Materials and methods: The author conducted a direct measurement of the pressure inside the superficial posterior muscular-fascial compartment of the legs in five patients (10 calves) before the surgery and immediately after installation of gel-filled silicone implants inside the superficial posterior compartment of the legs with an average volume of 85-140 ml. Results and conclusions: The pressure measured by the proposed method inside the superficial posterior muscular-fascial compartment of the legs before the surgery was on average 2,1 0,4 mm Hg, after implants installation - 8,9 0,9 mm Hg. The result obtained is significantly lower than the critical intra-compartmental pressure, which indicates the safety of calf augmentation by insertion of implant inside the superficial posterior muscular-fascial compartment.</p>calf augmentationintra-compartmental pressureувеличение объема голенивнутрифутлярное давление[Montellano L. Calf augmentation Ann. Plast. Surg. 1991; 27(5):429—438.][Szalay L.V. Calf augmentation: a new calf prosthesis. Plast. Reconstr. Surg. 1985;75:83—86.][Hallock G.G. Myonecrosis as a sequela of calf implants. Ann. Plast. Surg. 1993;30:456—458.][Teixeira A.C.A., Dib C.C. Calf implants: complications, prevent and treatment. Rev. Bras. Cir. Plást. 2010;25(3): 547—550.][Whitesides T.E., Haney T.C., Morimoto K., Harada H. Tissue pressure measurements as a determinant for the need of fasciotomy. Clin. Orthop. Relat. Res. 1975; (113):43—51.][Mishustin V.N., Mishustina N.N., Fedosov S.A., Markin A.P. The study of pressure inside the crural muscular-fascial compartment in the occlusive venous thrombosis of inferior limbs. Kursk scientific and practical bulletin “Man and his health”. 2006;3:24—29.][McQueen M.M., Court-Brown C.M. Compartment monitoring in tibial fractures. The pressure threshold for decompression. J. Bone Joint Surg. Br. 1996;78(1): 99—104.]