Hovius S E, Ultee J
Department of Plastic and Reconstructive Surgery, University Hospital Rotterdam, Rotterdam, The Netherlands.
Hand Clin. 2000 Nov;16(4):647-57.
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.
可以得出结论，福克曼缺血性挛缩患者的治疗很复杂，且取决于许多不同变量。对于已形成的挛缩，最佳治疗需要全面检查缺血损伤的程度，然后进行保守治疗或手术。然而，与福克曼缺血性挛缩相关的最重要措施是预防挛缩的措施。非常简单的措施，如监测高危损伤以及在出现骨筋膜室综合征症状时立即进行血管修复或减压，就能预防这种致残状况，这一点令人痛心。以下总结有望为福克曼缺血性挛缩的预防和治疗提供指导方针。
