Functional and socioprofessional outcome of surgery for Volkmann's contracture

Griffart, Aude; Gauthier, Emeline; Vaiss, Lucile; Williams, Thomas; Mallard, Florence; Nen, D. Le

doi:10.1016/j.otsr.2018.08.019

Cited by 2 publications

(13 citation statements)

References 19 publications

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“…In comparison with other studies [6,[17][18][19], we noticed significant differences. First, it is a large case series, conducted over 30 years , and looking at the mid-and longterm results.…”

Section: Discussioncontrasting

confidence: 93%

“…First, it is a large case series, conducted over 30 years , and looking at the mid-and longterm results. Apart from the predominance of the male sex and the right side and as other authors have also pointed out [17][18][19] on this subject, the more frequent involvement of men than women can be attributed to the greater tendency of men to participate in risky activities which predispose them to initial traumatic events. The cause of this condition is also different in our study, with a predominance of wrist fractures (16 cases, compared to 11 cases of elbow fracture and five soft limb injuries).…”

Section: Discussionmentioning

confidence: 92%

“…This highlights the importance of keeping a watchful eye for signs and symptoms of compartment syndrome and VIC in patients with limb fractures and soft trauma treated with bandages and tight dressings. In summary, most authors [6,[17][18][19] report improved results when performing an open repair, whatever the procedure adopted.…”

Section: Discussionmentioning

confidence: 99%

“…For a mild case of VIC, an urgent fasciotomy is managed. In the long-term severe case, the surgical techniques [3,4] consist of: excision of the necrotic muscle, lengthening of the tendon, In sum, a better understanding of the pathogenesis of compartment syndrome has led to faster diagnostic and therapeutic measures and reduced the incidence of VIC [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

“…In sum, a better understanding of the pathogenesis of compartment syndrome has led to faster diagnostic and therapeutic measures and reduced the incidence of VIC [ 5 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Benabdallah

Shimi

Benali

et al. 2021

SICOT-J

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Introduction: Volkmann’s contracture condition is of high prevalence in our population and is linked to therapeutic faults. The treatment and its results are determined according to the severity of the lesions. Methods: This retrospective study was performed in three centers and was conducted over 30 years (1987–2018); it included 32 patients. The disabilities of the arm, shoulder and hand (DASH) score and the Weber test were used to evaluate the functional outcome looking at mid and long-term results. Results: Thirty-two patients were treated for Volkmann’s Ischemic Contracture (VIC). The age ranged from 4 to 58 years, with 19 patients aged under 15. Wrist fracture was the predominant cause in 16 cases. Fourteen patients obtained a completely functional hand, seven good functional results, four fair functional results, and seven poor results. Discussion: In comparison with other studies, we noticed significant differences: apart from the dominant male sex and right side, this is one large case series conducted over 30 years (1987–2018) looking at mid-and long-term results. All the patients presented with severe or moderate lesions on the first visit. In our study, the wrist fracture is predominant compared to elbow fractures and soft trauma. X-rays are especially helpful and are a first-line investigation for identifying displaced fractures and other associated lesions. Our study population is not large, and the treatment methods are varied, so it is impossible to provide statistically relevant correlations between the treatment method and outcome. But this work is based on the experience of more than 30 years, which makes it possible to help adequate decision making according to the state of the lesions. This study is a level IV case series.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In sum, a better understanding of the pathogenesis of compartment syndrome has led to faster diagnostic and therapeutic measures and reduced the incidence of VIC [ 5 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Benabdallah

Shimi

Benali

et al. 2021

SICOT-J

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Refinements in the Treatment of Volkmann Ischemic Contracture of the Forearm: A Thematic Review

Stevanovic,

Sharpe

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Volkmann contracture of the forearm is a devastating complication of muscle ischemia. It is most commonly associated with trauma and a sequela of compartment syndrome. In the last few decades, much has improved in our ability to treat these patients. Our preferred treatments are presented along with representative case studies that illustrate the functional gains that can be achieved with a focus on moderate and severe contractures. Refinements in care that have evolved over the past 40 years of experience in treating these patients are presented.

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Functional and socioprofessional outcome of surgery for Volkmann's contracture

Cited by 2 publications

References 19 publications

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Refinements in the Treatment of Volkmann Ischemic Contracture of the Forearm: A Thematic Review

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