Volkmann's ischemic contracture. Prevention and treatment.
It may be concluded that treatment of patients with Volkmann's ischemic contracture is complicated and depends on a number of different variables. Optimal treatment of an established contracture requires a through examination of the extent of damage of the ischemia, followed by conservative therapy or operation. The most important measures concerning Volkmann's ischemic contracture, however, involve measures to prevent the contracture. It is poignant that very simple measures, such as monitoring high-risk injuries and immediate vascular repair or decompression if symptoms of a compartment syndrome are present, can prevent this disabling condition. The following summaries hopefully provide guidelines for prevention and treatment of Volkmann's ischemic contracture.
Hovius
S E
SE
Department of Plastic and Reconstructive Surgery, University Hospital Rotterdam, Rotterdam, The Netherlands. hovius@plch.azr.nl
Ultee
J
J
D001132:Arm; D002648:Child; D003161:Compartment Syndromes / Q000517:prevention & control* / Q000601:surgery / Q000628:therapy*; D019299:Decompression, Surgical; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation; D011182:Postoperative Care; D013709:Tendon Transfer