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

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Review

Table 1

Characteristics of patients, options, and results of treatment.

	Case	Age–Sex	Cause	Side	Level	Duration	Findings	Treatment	Follow up	Result	Sensitivity	Score (%)
Fasciotomy	1	57 F	Wrist	L	Severe	3 weeks	Gangrena	Fasciotomy	20 years	Excellent	E–G	13.60
	2	15 M	Wrist	R	Moderate	2 weeks	Infection	Fasciotomy	2 years	Excellent	E–G	0.00
	3	15 M	Elbow	L	Moderate	2 weeks	Infection	Fasciotomy	4 years	Excellent	E–G	0.00
	4	19 F	Wrist	R	Moderate	3 weeks		Fasciotomy	2 years	Excellent	E–G	0.00
	5	23 F	Wrist	R	Moderate	2 weeks		Fasciotomy	3 years	Excellent	E–G	0.00
	6	14 M	Elbow	R	Moderate	2 weeks		Fasciotomy	4 years	Excellent	E–G	0.00
	7	13 M	Wrist	L	Moderate	3 weeks		Fasciotomy	2 years	Excellent	E–G	0.00
	8	22 F	Elbow	R	Moderate	2 weeks		Fasciotomy	2 years	Excellent	E–G	0.00
	9	28 M	Wrist	R	Severe	3 weeks		Fasciotomy	3 years	Good	E–G	31.80
	10	4 F	Wrist	L	Moderate	2 weeks		Fasciotomy	2 years	Excellent	E–G	9.10
	11	13 M	Elbow	R	Moderate	2 weeks		Fasciotomy	4 years	Good	E–G	25.00
	12	16 M	Soft	R	Moderate	3weeks		Fasciotomy	2years	Excellent	E–G	22.70
	13	13 M	Wrist	R	Moderate	4 weeks		Fasciotomy	3 years	Good	E–G	29.50
	14	22 M	Wrist	L	Moderate	2 weeks		Fasciotomy	2 years	Excellent	E–G	18.20
	15	6 F	Soft	R	Severe	5 weeks		Fasciotomy	4 years	Good	E–G	47.70
	16	9 M	Elbow	R	Severe	4 weeks		Fasciotomy	3 years	Good	E–G	34.10
Slide procedure	17	23 M	Elbow	R	Severe	5 weeks		Slide procedure	9 years	Fair	E–G	63.60
	18	26 F	Wrist	R	Severe	3 weeks		Slide procedure	2 years	Good	E–G	40.90
	19	9 M	Elbow	R	Moderate	3 weeks		Slide procedure	3 years	Good	E–G	38.60
	20	7 F	Wrist	R	Moderate	4 weeks		Slide procedure	3 years	Good	E–G	40.20
	21	11 M	Soft	L	Severe	4 weeks		Slide procedure	5 years	Fair	E–G	54.50
	22	8 F	Wrist	L	Severe	3 weeks		Slide procedure	3 years	Good	E–G	47.70
	23	11 M	Elbow	R	Severe	3 weeks		Slide procedure	2 years	Fair	E–G	52.30
	24	14 M	Soft	R	Severe	2 weeks		Slide procedure	2years	Fair	E–G	56.80
	25	9 M	Wrist	L	Moderate	3 weeks		Slide procedure	3 years	Fair	E–G	54.50
Combined procedure	26	27 M	Soft	R	Severe	8 weeks		Fasciotomy-carpus	4 years	Good	E–G	36.40
								Resection-muscle
								Transplantation-
								Wrist osteotomy
	27	4 F	Elbow	R	Severe	5 weeks		Digital amputation	25 years	Poor	F–B	77.30
								Fasciotomy
								Wrist arthrodesis
	28	10 M	Elbow	L	Severe	7 weeks		Slide procedure	16 years	Poor	E–G	65.90
								Z plasty
								Tendon transfer
	29	24 M	Elbow	R	Severe	5 weeks	Osteitis	Slide procedure	9 years	Poor	F–B	77.30
								Bone curettage
	30	28 M	Wrist	R	Severe	4 weeks	Infection	Slide procedure	3 years	Fair	E–G	52.30
								Carpal resection
								Wrist osteotomy
Digital amputation	31	5 F	Wrist	R	Severe	4 weeks		Digital amputation	2 years	Poor	E–G	77.30
								Tendon transfer
	32	27 F	Wrist	L	Severe	5 weeks		Digital amputation	2 years	Fair	E–G	72.70

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