Volkman缺血性挛缩。病例报告。
Volkmann's ischemic contracture. A case report.
作者信息
Lapuk S, Woodbury D F
机构信息
University of Connecticut School of Medicine, Farmington.
出版信息
Orthop Rev. 1988 Jun;17(6):618-24.
PMID:3043326
Abstract
A case is presented illustrating some of the basic principles in the development and repair of Volkmann's ischemic contracture following a supracondylar fracture. The etiology, initial signs, prevention, and possible treatments of the contracture are discussed. Early fasciotomy is the best treatment for impending contracture, while neurolysis with infarct excision, a flexor pronator slide, and tendon transfer can return much function following established contracture of the forearm.
摘要
本文介绍了一个病例，阐述了髁上骨折后Volkmann缺血性挛缩的发生和修复中的一些基本原则。文中讨论了挛缩的病因、初始体征、预防措施和可能的治疗方法。早期筋膜切开术是预防即将发生的挛缩的最佳治疗方法，而对于前臂已形成的挛缩，进行神经松解术并切除梗死组织、屈肌旋前肌滑动术和肌腱转移术可恢复大部分功能。
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