As soon as osteofascial compartment syndrome is diagnosed, the fascia should be incised and decompressed immediately. Early and complete incision and decompression of the fascia is the only effective way to prevent ischemic necrosis of muscles and nerves. And it is important not to wait until clinical symptoms develop before making an incision and decompression, which can lead to irreversible ischemic myoclonus. Continuous negative pressure drainage techniques are currently required after reduction of the incision, and extended sutures are performed after the swelling subsides. After local incision and decompression, blood circulation is improved and a large amount of necrotic tissue toxins enter the circulation, and complications such as water loss, acidosis, hyperkalemia, arrhythmia, and shock should be actively prevented.