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

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 3...

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Autores principales:	Benabdallah Otman, Shimi Mohamed, Ait Benali Hicham, Khamlichi Ahmed, Benabdallah Rania
Formato:	article
Lenguaje:	EN
Publicado:	EDP Sciences 2021
Materias:	compartment syndrome volkmann’s ischemic contracture muscle injury nerve injury Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/3cdbdcc111ff4586bfce22dc198f8b6e
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spelling	oai:doaj.org-article:3cdbdcc111ff4586bfce22dc198f8b6e2021-11-12T11:45:44ZManagement of Volkmann’s Ischemic Contracture: Case Series of 32 patients2426-888710.1051/sicotj/2021055https://doaj.org/article/3cdbdcc111ff4586bfce22dc198f8b6e2021-01-01T00:00:00Zhttps://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj210074/sicotj210074.htmlhttps://doaj.org/toc/2426-8887Introduction: 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.Benabdallah OtmanShimi MohamedAit Benali HichamKhamlichi AhmedBenabdallah RaniaEDP Sciencesarticlecompartment syndromevolkmann’s ischemic contracturemuscle injurynerve injuryOrthopedic surgeryRD701-811ENSICOT-J, Vol 7, p 56 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	compartment syndrome volkmann’s ischemic contracture muscle injury nerve injury Orthopedic surgery RD701-811
spellingShingle	compartment syndrome volkmann’s ischemic contracture muscle injury nerve injury Orthopedic surgery RD701-811 Benabdallah Otman Shimi Mohamed Ait Benali Hicham Khamlichi Ahmed Benabdallah Rania Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients
description	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.
format	article
author	Benabdallah Otman Shimi Mohamed Ait Benali Hicham Khamlichi Ahmed Benabdallah Rania
author_facet	Benabdallah Otman Shimi Mohamed Ait Benali Hicham Khamlichi Ahmed Benabdallah Rania
author_sort	Benabdallah Otman
title	Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients
title_short	Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients
title_full	Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients
title_fullStr	Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients
title_full_unstemmed	Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients
title_sort	management of volkmann’s ischemic contracture: case series of 32 patients
publisher	EDP Sciences
publishDate	2021
url	https://doaj.org/article/3cdbdcc111ff4586bfce22dc198f8b6e
work_keys_str_mv	AT benabdallahotman managementofvolkmannsischemiccontracturecaseseriesof32patients AT shimimohamed managementofvolkmannsischemiccontracturecaseseriesof32patients AT aitbenalihicham managementofvolkmannsischemiccontracturecaseseriesof32patients AT khamlichiahmed managementofvolkmannsischemiccontracturecaseseriesof32patients AT benabdallahrania managementofvolkmannsischemiccontracturecaseseriesof32patients
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Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

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