Volkmann's Contracture - Treatment

Treatment

Surgery to release the fixed tissues may help with the deformity and function of the hand.

All splints, plaster and bandages that might be obstructing the circulation should be removed and fascial compartment should be opened fasciotomy in incipient stage.

Prevention:

  • requires restoration of blood flow;
  • reduction of compartmental pressure

Management:

  • proper initial splinting of hand in the function position;
  • release of forearm flexors;
    • muscle slide
    • tendon lengthening;
  • test for intrinsic tightness
  • free functional muscle transfer

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