Clinical and Demographic Profile of Volkmann’s Ischemic Contractures Presenting at National Institute of Rehabilitation Medicine, Islamabad, Pakistan

Saaiq, Muhammad

doi:10.29252/wjps.9.2.166

Cited by 11 publications

(26 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In comparison with other studies [ 6 , 17 – 19 ], we noticed significant differences. First, it is a large case series, conducted over 30 years (1987–2018), and looking at the mid-and long-term results.…”

Section: Discussioncontrasting

confidence: 93%

“…First, it is a large case series, conducted over 30 years , and looking at the mid-and longterm results. Apart from the predominance of the male sex and the right side and as other authors have also pointed out [17][18][19] on this subject, the more frequent involvement of men than women can be attributed to the greater tendency of men to participate in risky activities which predispose them to initial traumatic events. The cause of this condition is also different in our study, with a predominance of wrist fractures (16 cases, compared to 11 cases of elbow fracture and five soft limb injuries).…”

Section: Discussionmentioning

confidence: 89%

“…Moreover, alternative treatment by traditional healers [17,[20][21][22] still exists, which suggests an underestimation of the devastating effects of ischemia if it is not recognized and treated in time. The non-recognition of Volkmann's contracture is the main factor preventing the urgent management it requires.…”

Section: Discussionmentioning

confidence: 99%

“…This highlights the importance of keeping a watchful eye for signs and symptoms of compartment syndrome and VIC in patients with limb fractures and soft trauma treated with bandages and tight dressings. In summary, most authors [6,[17][18][19] report improved results when performing an open repair, whatever the procedure adopted.…”

Section: Discussionmentioning

confidence: 99%

“…For a mild case of VIC, an urgent fasciotomy is managed. In the long-term severe case, the surgical techniques [3,4] consist of: excision of the necrotic muscle, lengthening of the tendon, In sum, a better understanding of the pathogenesis of compartment syndrome has led to faster diagnostic and therapeutic measures and reduced the incidence of VIC [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Benabdallah

Shimi

Benali

et al. 2021

SICOT-J

View full text Add to dashboard Cite

Introduction: Volkmann’s contracture condition is of high prevalence in our population and is linked to therapeutic faults. The treatment and its results are determined according to the severity of the lesions. Methods: This retrospective study was performed in three centers and was conducted over 30 years (1987–2018); it included 32 patients. The disabilities of the arm, shoulder and hand (DASH) score and the Weber test were used to evaluate the functional outcome looking at mid and long-term results. Results: Thirty-two patients were treated for Volkmann’s Ischemic Contracture (VIC). The age ranged from 4 to 58 years, with 19 patients aged under 15. Wrist fracture was the predominant cause in 16 cases. Fourteen patients obtained a completely functional hand, seven good functional results, four fair functional results, and seven poor results. Discussion: In comparison with other studies, we noticed significant differences: apart from the dominant male sex and right side, this is one large case series conducted over 30 years (1987–2018) looking at mid-and long-term results. All the patients presented with severe or moderate lesions on the first visit. In our study, the wrist fracture is predominant compared to elbow fractures and soft trauma. X-rays are especially helpful and are a first-line investigation for identifying displaced fractures and other associated lesions. Our study population is not large, and the treatment methods are varied, so it is impossible to provide statistically relevant correlations between the treatment method and outcome. But this work is based on the experience of more than 30 years, which makes it possible to help adequate decision making according to the state of the lesions. This study is a level IV case series.

show abstract

Section: Discussioncontrasting

confidence: 93%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Benabdallah

Shimi

Benali

et al. 2021

SICOT-J

View full text Add to dashboard Cite

show abstract

Marital status and suicidal behavior in South Asia: A systematic review and meta‐analysis

Arafat,

Menon,

Khan

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and AimsThe connection between marital status and suicidal behavior has been poorly assessed in South Asia. We aimed to see the proportion of marital status in individuals with suicidal behavior in South Asian countries.MethodsWe followed PRISMA guidelines and registered the protocol in advance (PROSPERO 2023 CRD42023399906). A systematic search was conducted in Medline, Embase, and PsycINFO. Meta‐analyses were performed to pool the proportion of married individuals with suicidal behavior (total [suicide + suicide attempts], suicide, and suicide attempt) in South Asian countries. We considered suicidal behavior consist of suicide and suicide attempts (nonfatal).ResultsOur search identified 47 studies for this review from 6 countries published from 1999 to 2022 with a sample size ranging from 27 to 89,178. The proportion of married individuals was 55.4% (95% CI: 50.1–60.5) for suicidal behavior, 52.7% (95% CI: 44.5–60.7) for suicides, and 43.1 (95% CI: 32.9–53.9) for suicide attempts. The proportion of married persons among suicide attempts varied significantly across countries (p = 0.016) which was highest (61.8%; 95% CI: 57.2–66.2) in India, followed by Bangladesh (52.5%; 95% CI: 41.8%–62.9%) and Pakistan (45.1%; 95% CI: 30.9–59.9). The pooled proportions did not differ significantly in relation to the quality of the studies (p = 0.633).ConclusionThis review identified married persons died more than others by suicide in South Asian countries while single persons attempted suicide than married. As the current study did not assess any cause‐and‐effect association, a cautious interpretation is warranted while considering married marital status as a risk factor.

show abstract

Distribution of Nosocomial Pathogens and Antimicrobial Resistance among Patients with Burn Injuries in China: A Comprehensive Research Synopsis and Meta-Analysis

Yang,

Zeng,

et al. 2024

Infect Dis Ther

View full text Add to dashboard Cite

Introduction Over the past decade, numerous studies have described the types of pathogens and their antibiotic resistance patterns in patients with burn injuries in China; however, the findings have generally been inconsistent. We conducted a literature search and meta-analysis to summarize the infection spectra and antimicrobial resistance patterns in patients with burn injuries. Methods We searched the PubMed, Embase, Web of Science, China National Knowledge Infrastructure, China Biomedical Literature, Wanfang, and Weipu databases for relevant articles published between January 2010 and December 2023. The DerSimonian–Laird random-effects model was used to estimate the proportions and 95% confidence intervals (CIs) of pathogens among Chinese patients with burn injuries. Meta-regression analyses were performed to explore differences in the proportions of pathogens among different subgroups and their resistance patterns. This study was registered with PROSPERO (CRD42024514386). Results The database searches yielded 2017 records; after removing duplicates and conducting initial screening, 219 articles underwent full-text screening. Ultimately, 60 studies comprising a total of 62,819 isolated strains reported the proportions of pathogens in patients with burn injuries and were included in this meta-analysis. Meta-analyses were conducted on 18 types of pathogens. The most common pathogens causing infections in Chinese patients with burn injuries were Staphylococcus aureus , Pseudomonas aeruginosa , Acinetobacter baumannii , Klebsiella pneumoniae , and Staphylococcus epidermidis . Similar results were observed in the subgroup analysis focusing on wound infections. Since 2015, there has been a significant decrease in the proportion of Pseudomonas aeruginosa ( R 2 = 4.89%) and a significant increase in the proportion of Klebsiella pneumoniae ( R 2 = 9.60%). In terms of antibiotic resistance, there has been a significant decrease in the resistance of Staphylococcus aureus to multiple antibiotics and an increasing trend in the resistance of Klebsiella pneumoniae . Conclusions We systematically summarized the epidemiological characteristics and antibiotic resistance patterns of pathogens among individuals suffering from burns in China, thus providing guidance for controlling wound infections and promoting optimal empirical antimicrobial therapy. The observed high levels of antibiotic resistance underscore the need for ongoing monitoring of antibiotic usage trends. Supplementary Information The online version contains supplementary material available at 10.1007/s40121-024-...

show abstract

Clinical and Demographic Profile of Volkmann’s Ischemic Contractures Presenting at National Institute of Rehabilitation Medicine, Islamabad, Pakistan

Abstract: BACKGROUND Established Volkmann's ischemic contractures (VICs) represent the eventuality of neglected acute compartment syndrome (ACS) of the forearm. This study assessed the clinical and demographic presentation of VICs.

Cited by 11 publications

References 14 publications

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Management of Volkmann’s Ischemic Contracture: Case Series of 32 patients

Marital status and suicidal behavior in South Asia: A systematic review and meta‐analysis

Distribution of Nosocomial Pathogens and Antimicrobial Resistance among Patients with Burn Injuries in China: A Comprehensive Research Synopsis and Meta-Analysis

Contact Info

Product

Resources

About