Volkann’s Ischemic Contracture

The child sustained a fracture of his elbow, the plaster was applied. Later he developed certain contractures called as Volkann’s Ischemic Contracture or VIC.

He was unable to flex his fingers and had no sensation in the fingers. The first surgery was in the form of neurolysis of the median nerve and the ulnar nerve. He made remarkable recovery of the sensation. In the absence of any recovery of the finger flexion, second surgery was undertaken. A tendon was mobilized from the back of the wrist and used to provide power to the finger flexors (ECRL to FDP).

Before & After Surgery