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Orthopaedics & Traumatology: Surgery & Research
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le vendredi 23 novembre 2018
Doi : 10.1016/j.otsr.2018.08.019
Received : 22 December 2017 ;  accepted : 21 August 2018
Functional and socioprofessional outcome of surgery for Volkmann's contracture

Aude Griffart , Emeline Gauthier, Lucile Vaiss, Thomas Williams, Florence Mallard, Dominique Le Nen
 Service orthopédie et traumatologie, boulevard Tanguy Prigent, 29609 Brest, France 

Corresponding author.

Volkmann's ischemic contracture is rare and surgical treatment remains a challenge. The goal of treatment is to obtain permanent recovery of joint range of motion and strength. The goal of this study was to evaluate the functional and socioprofessional outcome of surgical treatment of Volkmann's ischemic contracture.


This retrospective study was performed in two centers with one surgeon. Seven patients were included; mean age 23.6 years old. The Quick-Dash score, Patient Rated Wrist Questionnaire (PRWE) scores were obtained. Grip strength was compared to the contralateral side. Satisfaction was evaluated by the question: would you have surgery again? The surgical technique included 7 muscle slide procedures.


Wrist and finger range of motion was good at least 6.1years in all cases according to the system by Buck-Gramcko. Grip strength on the operated side was 72.3% of the contralateral side. The mean PRWE was 14.64/100, mean QUICK-DASH score was 7.9/100. Patients returned to their professional activities in all cases. Patients who were questioned were all satisfied with surgery.


Once the contracture is established in Volkmann's contracture Page-Scaglieti-Gosset muscle slide procedure can be used with good results allowing a return to socioprofessional activities.

Level of evidence

IV, retrospective study.

The full text of this article is available in PDF format.

Keywords : Strength, Range of motion, Page-Scaglietti-Gosset muscle slide procedure, Professional activity, Volkmann

© 2018  Published by Elsevier Masson SAS.
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