|Evaluation of the Outcomes of Tendon Bypass Transfer to Finger Flexors by Tensor Fascia Lata Graft in Patients With Volkmann"s Contracture: A Non-Randomized Clinical Trial Without a Control Group|
|Behrooz Nazari1, Farzad Farokhi1, Mohammadreza Moharrami1|
|1Department of Orthopedics, Shohada Medical Research & Training Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran|
CJMB 2021; 8: 134-137
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Keywords : Ischemic Volkmann"s contracture, Surgery, Tensor fascia lata graft
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Objectives: Free muscle transfer in Volkmann"s contracture surgery is the most difficult method for achieving good results. The aim of the present study was to evaluate the outcomes of tendon bypass transfer to finger flexors by tensor fascia lata graft in patients with Volkmann"s contracture.
Materials and Methods: This non-randomized clinical trial was conducted on 15 patients (based on a relevant study, census sampling) during 2015-2019 in Shohada hospital, Tabriz. The patients underwent surgery in two stages. In the first stage, muscle release and nerve neurolysis were performed, and in the second stage, the tendon was prepared and connected to the bypass in the volar forearm at the proximal and to finger flexors at the distal joint. Hand grip strength, finger and wrist range of motion, hand dexterity, and daily activities were assessed using the considered tools, and finally, the data were compared using SPSS 20. P<0.05 was considered statistically significant.
Results: The preoperative status of the subjects regarding the studied variables was extremely unfavorable, however, hand grip strength (81.35 ± 10.18), Fugl-Meyer (29.49 ± 05.25), hand dexterity (08.59 ± 01.83), and daily activities (81.10±07.43) showed a highly favorable and significant improvement after the surgery (P = 0.001).
Conclusions: The tendon bypass transfer to finger flexors by tensor fascia lata graft in patients with ischemic Volkmann"s contracture resulted in acceptable improvements after the surgery.
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