Overdiagnosis of necrotizing fasciitis: clinical–radiological suspicion versus intraoperative findings in 62 fasciotomy patients

Key Points

• The study aims to evaluate the relationship between clinical-radiological suspicion and intraoperative findings in necrotizing fasciitis.
• Analyzed 62 patients undergoing fasciotomy for suspected necrotizing fasciitis.
• Evaluated LRINEC scores alongside clinical signs of necrosis.
• Compared outcomes based on timing and decision-making in fasciotomy procedures.
• Elevated LRINEC scores predict necrosis but not mortality.
• Early surgical exploration improves outcomes, regardless of confirmed necrosis.
• Clinical judgement plays a key role in timely interventions.