Background class='Para'>Volkmann’s ischemic contracture is a less common but crippling condition affecting the extremities. Once the condition sets in, the prognosis always remai'/> Results of the Max Page muscle sliding operation for the treatment of Volkmann’s ischemic contracture of the forearm
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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Results of the Max Page muscle sliding operation for the treatment of Volkmann’s ischemic contracture of the forearm
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Results of the Max Page muscle sliding operation for the treatment of Volkmann’s ischemic contracture of the forearm

机译：Max Page肌肉滑动手术治疗Volkmann前臂缺血性挛缩的结果

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class="Heading">Background class="Para">Volkmann’s ischemic contracture is a less common but crippling condition affecting the extremities. Once the condition sets in, the prognosis always remains guarded, even after long and intensive physiotherapy and various restorative surgical techniques. This study was undertaken to evaluate the long-term functional results of the Max Page muscle slide operation in patients with Volkmann’s ischemic contracture of the forearm of moderate degree (Tsuge classification). class="Heading">Materials and methods class="Para">Nineteen patients treated between 1997 and 2009 were evaluated. The functional outcome (measured as the dexterity score, hand grip strength, sensibility, and appearance) was analyzed postoperatively. The pre- and postoperative values were compared using a paired t test. The final results were graded as good, fair, and poor. class="Heading">Results class="Para">The average age at the time of presentation was 18?years (range 3–25?years). Tight external splintage for injuries around elbow and forearm was the primary factor. The mean period of follow-up was 3.53?years. Fifteen patients were able to achieve good functional results. Three had fair and one had poor results. All three variables showed significant improvements postoperatively. Wound dehiscence was the most common complication. One patient needed a second surgery to restore good hand function. class="Heading">Conclusion class="Para">The Max Page muscle sliding operation to treat Volkmann’s ischemic contracture of moderate degree gives good functional results. The procedure is simple and easy to perform. Adequate muscle release and proper postoperative physiotherapy are key to achieving good results.
机译：class =“ Heading”>背景 class =“ Para”> Volkmann缺血性挛缩病是一种不太常见但会严重影响肢体的疾病。一旦病情发作，即使经过长期而深入的理疗和各种修复性手术技术，其预后也将始终保持警惕。这项研究的目的是评估中度前臂Volkmann缺血性挛缩（Tsuge分类）患者Max Page肌肉滑动手术的长期功能结果。 class =“ Heading”>材料和方法 class =“ Para”>，对1997年至2009年间接受治疗的19例患者进行了评估。术后分析功能结局（以敏捷度得分，握力，敏感性和外观来衡量）。使用配对的 t 测试比较术前和术后的值。最终结果分为好，中和差。 class =“ Heading”>结果 class =“ Para”>演示时的平均年龄为18岁。 （范围为3–25？年）。肘关节和前臂周围的外部韧带紧绷是主要因素。平均随访时间为3。53年。 15名患者能够获得良好的功能结果。 3人表现一般，其中1人表现不佳。术后三个变量均显示出明显改善。伤口裂开是最常见的并发症。一名患者需要再次手术以恢复良好的手部功能。 class =“ Heading”>结论 class =“ Para”> Max Page肌肉滑动手术治疗中度Volkmann缺血性挛缩度给出良好的功能结果。该过程简单且易于执行。足够的肌肉释放和适当的术后理疗是取得良好效果的关键。

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