Tight Bandage Research Articles

Management of Vataja Shirashula with W.S.R Tension Headache - A Case Report

Shiras is also known as Uttamanga is the most vital part of our body. In Ayurveda, Shiro rogas are not restricted to pain or discomfort seen around cranial vault and but also the disorders of brain as such Headache is the most frequent and troublesome reason to seek medical help in our day to day life. In Ayurveda classics shirashoola is having prime importance among other shirorogas. Vataja shirashoola According to charaka samhita is defined as severe pain in head, temples, between eyebrows, dizziness, stiffness in the neck, discomfort in ear, throbbing pain of blood vessels in head .relieves on hot and unctuous things, on tight bandage. According to W.H.O 70% population suffers from tension headache. In this pandemic this percentage is increased more. There are various reasons like – emotional stress, lockdown ,unemployment, sedentary life style etc leading to a growth in tension headache cases. So this case is selected for study with rasnadi shirolepa and dashamula pratimarshya nasya and aswhaganda ksheerapaka.

Volkmann's ischaemic contracture of the upper extremity - raising a red flag in the setting of developing countries.

Volkmann's ischaemic contracture (VIC) is a disabling condition resulting from tissue necrosis due to impaired vascular supply to the limb. Over the years VIC has become rare in developed countries with many different aetiologies described. It was alarming to have high incidence of established VIC in our practice in Nepal. A detailed analysis was conducted to accurately describe this issue. We collected 47 cases of VIC over six years and noted the age, sex, district of origin and cause of VIC, duration of injury to presentation, and the grade of VIC. Then we compared these characteristics of VIC of each Nepal province and created a map to show the problematic regions. Out of 47 patients, 46 could have been prevented by an early treatment. The most common cause was a tight cast in 25 patients (53.19%), followed by unintentionally self-caused VIC by applying tight bandages in 21 patients (44.68%). Most cases came from province 6 (29.78%). Our group included three mild (6.4%), 35 moderate (74.5%) and nine severe (19.1%) cases of VIC. Only 14 cases (29.78%) had a timely fasciotomy in the past. VIC is an irreversible complication of the compartment syndrome which is an easily preventable condition in the setting of developing countries. Our focus should, therefore, aim at preventing such disastrous conditions as 97.87% of cases we encountered could have been avoided by proper primary care. In the case of Nepal most cases came from province 6 and province 3.

Multi-Magnet Cochlear Implant Technology and Magnetic Resonance Imaging: The Safety Issue.

Despite the spread of novel-generation cochlear-implant (CI) magnetic systems, access to magnetic resonance imaging (MRI) for CI recipients is still limited due to safety concerns. The aim of this study is to assess and record the experiences of Hires Ultra 3D (Advanced Bionics) recipients who underwent an MRI examination. A multicentric European survey about this topic was conducted focusing on safety issues, and the results were compared with the current literature. We collected a total of 65 MRI scans performed in 9 otologic referral centers for a total of 47 Hires Ultra 3D recipients, including, for the first time, 2 children and 3 teenagers. Preventive measures were represented by scanning time and sedation for children. Head wrapping was used in eight cases, and six of the eight cases received local anesthesia, even if both measures were not needed. Only three patients complained of pain (3/65 examinations, 4.6%) due to the tight head bandage, and one of the three cases required MRI scan interruption. No other adverse events were reported. We believe that these results should encourage MRI execution in accordance with manufacturer recommendations for Ultra 3D recipients.

Spontaneous expulsive choroidal hemorrhage: A rare ocular catastrophe - A case report

Spontaneous expulsive choroidal hemorrhage is described as a sudden accumulation of blood in the potential space between the choroid and sclera, with the source of the blood being the long or short posterior ciliary arteries. It is observed exclusively in the geriatric population with atherosclerotic vessels associated with hypertension.[4] Massive spontaneous choroidal hemorrhage in the absence of surgery or trauma is an infrequent event, described in isolated case reports, and it results in devastating vision loss.[8] We report a case of a 74-year-old patient with uncontrolled hypertension with a sudden loss of vision in the left eye, later diagnosed as spontaneous expulsive choroidal hemorrhage. The patient was treated conservatively with topical steroids, cycloplegics, antibiotics, antiglaucoma medications, and tight bandages with nil visual prognosis. The patient initially refused surgical management and got discharged against medical advice. However, having been mentally prepared, the patient underwent evisceration at a tertiary eye care center nearby.

Veterinary Research Institute, Baku

A clinical examination of the hooves of 64 heads of cows was carried out in the livestock farms of the Masalli district of Azerbaijan. In 24.4% animals, pododermatitis with an inflammatory process (abscess) was detected in the forelimb. After fixing the sick animals, it hoof is opened and cleaned of purulent exudate and necrotic tissue. The wound area is washed with a solution of hydrogen peroxide and a tight bandage with white naphthalan oil and xeroform is applied. Attached from the plantar side to the treated left side of the hoof soft material made of caoutchouc and the cow hoof boot is put on. As a result of the studies, on the 8-10th day of treatment in animals, complete healing and recovery of the diseased hoof are observed.

Gangrene and Partial Auto-Amputation of the Penis in a Case of Priapism

Background: Penile Gangrene is rare, usually associated with extensive pelvic trauma, mechanical constriction, infection due to urinary extravasation and uncontrollable systemic infection. The objective of this case report is to stress upon the need for early detumescence by means of aspiration of accumulated blood, injection of phenylephrine, proper shunting of blood and adequate compression dressing with necessary antibiotic cover. Case Presentation: We present a case of 33-year-old married man who was hospitalized under general surgery department for left AK amputation because of lower limb gangrene. On 3rd postop day, patient was noted to have a turgid penis and unable to urinate. Urology consultation was sought after 3 days for suspected priapism. We immediately shifted the patient to OT and the detumescence of penis was achieved by means of aspiration and injection of phenylephrine followed by Winter’s shunting. The penis was noted to be flaccid with normal hue and patient was discharged. After 1 month, he returned to the hospital with extensive gangrene of the entire distal half of the penis with features of auto amputation of distal portion of penis. Conclusions: This report is aimed to prevent ischaemic complications of priapism like penile gangrene. Various factors like time of intervention, urethral catheter, tight pressure bandage dressing around the penis and local infection alone or in combination, have been implicated in causing penile gangrene in cases of priapism. Penile detumescence should be achieved on an emergency basis to prevent its ischaemic complications.

Prospective study on magnetic resonance imaging in cochlear implant patients

PurposeMonocentric, prospective study to investigate whether concomitant support of cochlear implant (CI) patients by CI-trained otolaryngologists and application of a standardized head bandage can minimize potential complications during magnetic resonance imaging (MRI).MethodsThirty-seven patients with 46 CIs underwent MRI with a prophylactic head bandage. All participants and the otolaryngologist at the CI center completed pre- and post-MRI questionnaires documenting body region scanned, duration of MRI and bandage wear, field strength during the scan, and any complications. If pain was experienced, it was assessed using a visual analog scale (1–10).ResultsMRI was performed without adverse events in 37.8% of cases. Magnet dislocation requiring surgical revision occurred in 2% of cases. Pain was reported in 86% of cases, often due to the tightness of the dressing. Patients with rotating, MRI-compatible magnets reported significantly less pain than participants with older-generation implants. In 11% of cases, the MRI was discontinued.ConclusionSerious complications during MRI in cochlear implant patients are rare. Pain is the most common adverse event, probably mainly due to the tight bandage required by most implant types. With newer generations of magnets, these patients experience less pain, no dislocation of the magnets, and no need for bandaging. Although magnet dislocation cannot be completely prevented in older generations of implants, it appears to be reduced by good patient management, which recommends examination under the guidance of physicians trained in the use of hearing implants.

Cryoballoon ablation for atrial fibrillation in octogenarians: a propensity score-based analysis with a younger cohort.

In terms of safety and efficacy, cryoballoon ablation (CB-A) has become a valid option for achieving pulmonary vein isolation (PVI) in patients affected by symptomatic atrial fibrillation. However, CB-A data in octogenarians are still scarce and limited to single-centre experiences. The present multicentre study aimed to compare the outcomes and complications of index CB-A in patients older than 80 years with a cohort of younger patients. We retrospectively enrolled 97 consecutive patients aged ≥80 years who underwent PVI using the second-generation CB-A. This group was compared with a younger cohort of patients using a 1:1 propensity score matching. After the matching, 70 patients from the elderly group were analysed and compared with 70 younger patients (control group). The mean age was 81.4 ± 1.9 years among octogenarians and 65.2 ± 10.2 years in the younger cohort. The global success rate after a median follow-up of 23 [18-32.5] months was 60.0% in the elderly group and 71.4% in the control group (P = 0.17). Phrenic nerve palsy was the most common complication occurring in a total of 11 patients (7.9%): in 6 (8.6%) patients in the elderly group and in 5 patients (7.1%) in the younger group (P = 0.51). Only two (1.4%) major complications occurred: one (1.4%) femoral artery pseudoaneurysm in the control group, which resolved with a tight groin bandage, and one (1.4%) case of urosepsis in the elderly group. Arrhythmia recurrence during the blanking period and the need for electrical cardioversion to restore sinus rhythm after PVI were found to be the only independent predictors of late arrhythmia relapses. The present study showed that CB-A PVI is as feasible, safe and effective among appropriately selected octogenarians as it is in younger patients.

Cryoballoon ablation for atrial fibrillation in octogenarians: a propensity-score matching comparison with a cohort of younger patients

Abstract Funding Acknowledgements Type of funding sources: None. Background Atrial fibrillation (AF) is the most frequent sustained cardiac arrhythmia in adults with a current estimated prevalence between 2-4% in the general population. AF prevalence increases with advancing age and it is estimated that nearly 10% of octogenarians may be affected by this arrhythmia. In terms of safety and efficacy Cryoballoon ablation (CB-A) has become a valid option for achieving pulmonary vein isolation (PVI) in patients affected by AF. However, data regarding CB-A in octogenarians are still scarce and limited to single center experiences, therefore the present multicenter study aimed to compare the outcomes and complications of index CB-A in patients older than 80 years-old with a cohort of younger patients. Methods and Results We retrospectively enrolled 97 consecutive patients aged ≥ 80 years who underwent PVI by means of the second generation CB-A. This group was compared with a younger cohort of patients using a 1:1 Propensity score matching. After the matching, 70 patients of the elderly group were analyzed and compared with 70 younger patients (control group). Mean age was 81.4 ± 1.9 years among octogenarians and 65.2 ± 10.2 years in the younger cohort. The global success rate after a median follow up of 23 [18 - 32.5] months was 60.0% in the elderly group and 71.4% in the control group (p = 0.17) (Fig.1). Phrenic nerve palsy (PNP) was the most common complication occurring in a total of 11 patients (7.9%): in 6 (8.6%) patients for the elderly group and in 5 patients (7.1%) of the younger group (p = 0.51). PNP always recovered within the day after CB-A and did not hinder electrical isolation of any of the septal PVs. Only 2 (1.4 %) major complications occurred: 1 (1.4%) small femoral artery pseudoaneurysm in the control group, which resolved with a tight groin bandage without the need of surgical repair and 1 (1.4%) case of urosepsis in the elderly group with subsequent acute kidney failure and need of renal replacement therapy. Arrhythmia recurrence during the blanking period (BP) and need of electrical cardioversion (ECV) to restore sinus rhythm after PVI were found to be the only independent predictors of late arrhythmia relapses (Fig.2). Conclusions The present study showed that CB-A PVI is as feasible, safe and effective among octogenarians as it is in younger patients.

P385 CRYOBALLOON ABLATION FOR ATRIAL FIBRILLATION IN OCTOGENARIANS: A PROPENSITY–SCORE MATCHING COMPARISON WITH A COHORT OF YOUNGER PATIENTS

Abstract Background Atrial fibrillation (AF) is the most frequent sustained cardiac arrhythmia in adults with a current estimated prevalence between 2–4% in the general population. AF prevalence increases with advancing age and it is estimated that nearly 10% of octogenarians may be affected by this arrhythmia. In terms of safety and efficacy, Cryoballoon ablation (CB–A) has become a valid option for achieving pulmonary vein isolation (PVI) in patients affected by symptomatic atrial fibrillation (AF). However, CB–A data in octogenarians are still scarce and limited to single–centre experiences. The present multicenter study aimed to compare the outcomes and complications of index CB–A in patients older than 80 years old with a cohort of younger patients. Methods and results We retrospectively enrolled 97 consecutive patients aged ≥ 80 years who underwent PVI using the second–generation CB–A. This group was compared with a younger cohort of patients using a 1:1 Propensity score matching. After the matching, 70 patients from the elderly group were analyzed and compared with 70 younger patients (control group). The mean age was 81.4 ± 1.9 years among octogenarians and 65.2 ± 10.2 years in the younger cohort. The global success rate after a median follow–up of 23 [18 – 32.5] months was 60.0% in the elderly group and 71.4% in the control group (p = 0.17). Phrenic nerve palsy (PNP) was the most common complication occurring in a total of 11 patients (7.9%): in 6 (8.6%) patients for the elderly group and in 5 patients (7.1%) of the younger group (p = 0.51). Only 2 (1.4 %) major complications occurred: 1 (1.4%) femoral artery pseudoaneurysm in the control group, which resolved with a tight groin bandage and 1 (1.4%) case of urosepsis in the elderly group. Arrhythmia recurrence during the blanking period (BP) and the need for electrical cardioversion (ECV) to restore sinus rhythm after PVI were found to be the only independent predictors of late arrhythmia relapses. Conclusions The present study showed that CB–A PVI is as feasible, safe and effective among octogenarians as it is in younger patients.

The experience of auditory implant recipients undergoing magnetic resonance imaging: Factors associated with pain

Objective Many patients with cochlear implants (CI) and auditory brainstem implants (ABI) require magnetic resonance imaging (MRI) following implantation. This study explores the patient experience of MRI, identifying factors associated with pain, and the effect of interventions designed to enhance comfort and safety. Methods A prospective observational case series from a tertiary referral unit. Tight head bandaging ± local anaesthetic injection (devices with non-MRI-compatible magnets) or observation alone (implants with MRI-compatible magnets) were employed for 1.5 T MRI of consecutive adult patients with CI or ABI without magnet removal. Pain was recorded via visual analogue scale (1 = no pain, 5 = extreme pain) at three time points; (1) baseline, (2) head bandage applied (3) during scanning. Patient age, device type, body area imaged and total scan time were recorded as variables, alongside adverse events. Results Data were collected for 227 MRI scans (34 patients with ABI, 32 with CI). In patients managed with bandaging, pain score after bandaging but prior to scanning (median 2.2) did not differ from pain during scanning (2.1), but both were significantly higher than baseline (1.4, both P ≤ 0.001). Scanning areas other than the head/cervical spine was associated with higher pain scores (P = 0.036). Pain during MRI differed between different manufacturers implants (P ≤ 0.001). Adverse events occurred in 8/227 scans (3.5%), none occurring with devices containing an MRI-compatible magnet. Conclusion MRI scanning with auditory implant magnets in situ is safe and well tolerated by patients.

MIGRAINE: BASIC PRINCIPLES OF TREATMENT AND PREVENTION

Migraine is a disease manifested by attacks of severe headaches. Often, the pain is one-sided, pulsating, increases with physical exertion and may be accompanied by nausea and hypersensitivity to light, sound and smells. The precursors of migraines last from a few minutes to an hour. During this period, a person's balance, sensitivity, coordination of movements, speech and vision may be disturbed. Migraines usually begin during puberty and weaken after 50 years. Tension migraine is an incorrect term that is sometimes used to refer to tension headaches. Tension headaches are associated with stress or musculoskeletal neck problems. This type of headache is characterized by squeezing or squeezing pain, as from a tight bandage around the head. The pain may start from the neck or spread to it.

LEAKING PSEUDOANEURYSM POST BRACHIOCEPHALIC AV FISTULA – A CASE REPORT

A 43 years old female patient with history of end stage renal disease who had undergone left brachiocephalic AV stula creation for maintainance hemodialysis presented to the casuality on postoperative day-20 (30/1/22) with spurting of blood from the stula site since that morning. Past history- patient was a known case of chronic kidney disease who was on maintainance hemodialysis (2 cycles /week) and had undergone left brachiocephalicAV stula creation on 10/1/22. On presentation this time with bleeding , her blood pressure was 80/50 mmhg, with pulse rate of 120 bpm. After immediate control of bleeding with tight bandage , patient was stabilized and was examined. Then the patient was shifted to the emergency operation theatre and the repair was done.

Exudative glutamine losses contribute to high needs after burn injury.

BackgroundBurnpatients characteristically have increased energy, glucose, and protein requirements. Glutamine supplementation is strongly recommended during early‐phase treatment and is associated with improved immunity, wound healing, and reduced mortality. This study evaluated if early burn exudative losses might contribute to higher supplementation needs.MethodsPatients admitted to the burn intensive care unit (ICU) had exudate collection from tight bandages applied to arms or legs during the first week (exudate aliquot twice daily). Seven amino acids (alanine, arginine, cystEine, glutamine, leucine, lysine, and methionine) were quantified by liquid chromatography–mass spectrometry. Descriptive analysis of all results is provided as median and interquartile range or in value ranges.ResultsEleven patients aged 19–77 years, presenting with burns on 18%–70% of the body surface, with a median simplified acute physiology score II of 33 (range, 16–56) were included during the study period. The highest amino acid losses were observed during the first 3 days with an important interpatient and intrapatient variability. Glutamine and alanine losses were highest, followed by leucine and lysine in all patients; amino acid exudate concentrations were in the range of normal plasma concentrations and were stable over time. Total glutamine losses were correlated to the burned surface (r2 = 0.552, P = .012), but not to enteral glutamine supplements.ConclusionsThe study shows significant exudative losses during early‐stage burn recovery and particularly for glutamine and alanine. Glutamine loss generally decreased with wound closure, the subsequent decline of exudation, and the evolving size of burn surfaces.

Evaluation of Different Techniques for Reducing Seroma Formation after Modified Radical Mastectomy

Background: Seroma is the most common problem occurring after breast cancer surgery, causing patient discomfort, repeated seroma aspirations with the risk of infection, prolonged hospital stay, delayed wound healing, skin flap necrosis, delay in receiving adjuvant therapies, and higher surgical expenditures. The purpose of our study is short term follow up within two months after operation to evaluate the effectiveness of using Tetracycline and closure of the dead space in reducing seroma after Modified Radical Mastectomy (MRM). Patients and methods: Interventional study was conducted on 56 females with breast cancer to evaluate different techniques for reduction of seroma formation after modified radical mastectomy at general surgery department of Zagazig University Hospitals, during the period from October 2018 to April 2020. Patients were divided into 2 groups each one enrolls 28 patients Group A: we used tetracycline, suction drain and tight bandage while in Group B: we used mechanical closure of dead space, suction drain and tight bandage, without tetracycline All patients were subjected to Demographic data taking, complete clinical examination, Laboratory investigations and breast ultrasound. Results: In this study the percentage of seroma occurred in total cases was (26.8%) this is considered good results when compared to worldwide percentage (73%). In group A (Tetracycline) seroma occurred in 32% of 28 cases and 21.4% of 28 cases in group B. Conclusion: There was no significant difference between using Tetracycline and mechanical closure of dead space in reducing seroma after MRM.

The history of the pediatric inguinal hernia repair

The history of inguinal hernia repair is a rich one. For centuries, hernia healers, doctors, anatomists, surgeons and quacks have been devoted to this pathology that has afflicted mankind throughout its evolution. The development of surgical correction mainly focused on adult pathology, with treatments that often involved the loss of the testis. Hernia management in children, however, also dates from antiquity. Described as a swelling on the surface of the belly in ancient papyri, it was treated with tight bandages by the early physicians of Alexandria. For centuries, conservative treatment had been used for the child using primordial trussess, many prayers, and often pagan rituals as the arboreal passage of children described by Marcello of Bordeaux, doctor of the Emperor Theodosius I (347-395 AD), reserving medical intervention only for cases of strangulation in which only reduction was attempted. The middle ages were characterized by an increase in cultural and scientific exchange, during which the first comprehensive surgical textbooks and atlases were written. Different approaches to the inguinal hernia were not taught and passed down through generations of surgeons. The modern era brought a better understanding of the inguinal anatomy, which led to surgical techniques associated with less post-operative complications. Today, the pediatric inguinal hernia repair is one of the most common pediatric operations performed. It is considered a safe procedure with very low complication rate.

Prepuce Transillumination: A Safety Tool in Forceps-guided Circumcision

Background: Injury or even amputation of the glans or the penile shaft occurs rarely but can be a tragic circumcision-related complication. The forceps-guided technique can cause this complication due to an inability to visualize the glans before incising. This study was designed to solve this problem by transilluminating the prepuce before the incision, thus exploring whether it contains any tissue between its layers and visualizing what is being done rather than performing the procedure blindly.
 Methods: Forceps-guided circumcision was done on 432 males, from August 2018 to July 2019.The mean age of patients was 15.57 (1–348) days. The pulled prepuce was transilluminated, showing the prepuce and verifying that no glanular or penile tissue was involved in the forceps lock before incising.
 Results: The mean follow-up period was 12.45 (2–35) days. Twenty-one patients had postoperative bleeding, and six patients had a hematoma. Fourteen of the 21 patients were managed using a tight bandage; the remaining 7 patients needed surgical exploration. None of the patients had glanular or penile injury.
 Conclusion: Transilluminating the prepuce as a modification of forceps-guided circumcision is a protective safety step before cutting the prepuce, to eliminate the incidence of glanular or penile injuries.
 Keywords: Circumcision, Prepuce, Transillumination, Forceps, Complication

SUTURELESS VERSUS SUTURED CONJUNCTIVAL AUTOGRAFT FOR SURGICAL TREATMENT OF PTERYGIUM

Background: Pterygium is a degenerative ocular surface disorder with wing-shaped fibrovascular growth of the subconjunctival tissue onto the cornea. Objectives: The purpose of this study was to compare the surgical outcomes of sutureless technique versus graft suturing technique for conjunctival autograft fixation following pterygium excision. Patients and Methods: This prospective interventional case study included 20 eyes with pterygium requiring surgical excision. Operated eyes were divided into 2 equal groups. group A, where the conjunctival auto graft was placed without using sutures and with placing a tight bandage for 24 hours after excision, and group B where the conjunctival auto graft was fixed by 8/0 nylon sutures. Results: The surgical time for group A was significantly less as compared to group B. Postoperative symptoms were seen in less number of patients and were of shorter duration in group A as compared to group B. Recurrence rate and conjunctival granuloma formation rate for group A and for group B were statistically insignificant. Visual acuity and astigmatism showed improvement in both group with no statistically significant difference between both divided groups. Conclusion: Suture-less and glue free limbal conjunctival autograft was safe, effective, economical, option for pterygium surgery.

Disastrous Complications Following Rhinoplasty: Soft Tissue Defects

Rhinoplasty has become one of the most frequently performed worldwide aesthetic procedures thanks to the successful results obtained by plastic surgeons. In this study, soft tissue defects, encountered as an undesirable and fearsome complication following rhinoplasty, its causes and precautions are presented by authors. Eight patients operated between December 2015 and December 2018 were enrolled in this study. According to the causes of soft tissue defects observed following rhinoplasty; patients were examined in 5 groups consisting of excessive subcutaneous adipose tissue defatting, improper dissection plane, compression of cast, splint and strip materials, pressure applied to skin by cartilage grafts, and overresection. Herein, while subcutaneous excessive defatting and intense cigarette smoking was responsible of the necrosis in the first patient we defined, high pressure on skin due to tight bandaging or external splint materials lead to skin necrosis in our patients 2, 3, and 4. The 5th and 6th patients were candidates of a revision rhinoplasty; however, both resulted with necrosis probably by reason of inaccurate dissection and/or possible diminished vascularity by previous rhinoplasty operations. In the 8th patient, necrosis was observed due to the compression of the bulky autologous cartilage graft used in the skin. In conclusion, skin necrosis is a rare but bothersome complication of rhinoplasty. The importance of atraumatic techniques and appropriate dissection plane during the rhinoplasty operation as well as the importance of the effect and control of the postoperative applied splint and bandage materials is so obviously seen.

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

BACKGROUNDEstablished 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. METHODSThis study was conducted at Department of Plastic Surgery, National Institute of Rehabilitation Medicine, Islamabad, Pakistan over a period of three years and included all patients of either gender who presented with VICs and analyzed various corrective procedures instituted as surgical remedies.RESULTSAmong 37 included patients, 83.78% were male and 16.21% were female (mean age: 16.51±9.1 years). The underlying causes of the initial traumatic insults were tight bandages employed by traditional bone setters for treating forearm fractures (83.78%), high voltage electric burns involving hands/forearms (13.51%) and supracondylar fracture with vascular compromise (2.70%). Majority of patients belonged to Holden type 2 (97.29%) and Tsuge type 2 VICs (48.68%). The most common sufferers of VICs were young, illiterate males coming from rural regions. Treatment for forearm fractures by traditional bonesetters constituted the most common underlying cause. Most of the patients were managed with combination of procedures including tendon transfers, excision of the fibrosed muscles, tenolysis and neurolysis of median and ulnar nerves. Tendon transfers were the commonest corrective procedures instituted.CONCLUSIONThis study highlighted the gravity of this largely preventable but neglected catastrophe and there is a need to institute robust preventive measures to address the issue. Emphasis should be on creation of public awareness and robust education of health care providers to ensure correct primary management of upper limb trauma.