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Volkmann's ischemic contracture. A case report.

S Lapuk1, D F Woodbury

  • 1University of Connecticut School of Medicine, Farmington.

Orthopaedic Review
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

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Volkmann

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Hand Surgery

Background:

  • Supracondylar fractures are common in children.
  • Volkmann's ischemic contracture is a severe complication.
  • Early recognition and intervention are crucial.

Observation:

  • A case of Volkmann's ischemic contracture following a supracondylar fracture is presented.
  • The case illustrates principles of contracture development and repair.
  • Initial signs, etiology, and prevention strategies are discussed.

Findings:

  • Early fasciotomy is the primary treatment for impending contracture.
  • Established contracture management includes neurolysis, infarct excision, flexor pronator slide, and tendon transfer.
  • These interventions can restore significant forearm function.

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Implications:

  • Highlights the importance of timely diagnosis and management of supracondylar fractures.
  • Provides insights into surgical techniques for Volkmann's ischemic contracture.
  • Emphasizes the potential for functional recovery even in established cases.