Outcomes of post burn flexion contracture release under tourniquet versus tumescent technique in children

Background: Burn contracture of the hand can leave patients with severe functional and psychological limitations. This study evaluates the severity of the deformity and various reconstructive options in post-burn hand injuries.Methods: This work includes the study of 50 patients who underwent reconstruction for post-burn flexion contracture of the hand, including fingers, in the department of plastic surgery. The patients were treated between April 2007 to April 2009.Results: Males were more commonly affected by burn injuries and thermal burns were more common than electrical burns. The little finger showed higher involvement and contracture release followed by grafting was the commonly done reconstructive procedure.Conclusions: Split thickness skin graft (SSG) were more effective in reconstruction in thermal injuries, while cross finger flaps (CFF) showed more promise in electrical injuries of the hand.

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Combined Iliazarov and Free Flap for Severe Recurrent Flexion–Contracture Release

Journal of Burn Care & Research ◽

10.1097/01.bcr.0000226033.45478.2d ◽

2006 ◽

Vol 27 (4) ◽

pp. 529-534 ◽

Cited By ~ 9

Author(s):

Eran Bar-Meir ◽

Batia Yaffe ◽

Eyal Winkler ◽

Nir Sher ◽

Michael Berenstein ◽

...

Keyword(s):

Free Flap ◽

Flexion Contracture ◽

Contracture Release

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Brachioradialis Flap for Coverage After Elbow Flexion Contracture Release

Techniques in Hand and Upper Extremity Surgery ◽

10.1097/bth.0b013e3181d44096 ◽

2010 ◽

Vol 14 (2) ◽

pp. 125-128 ◽

Cited By ~ 6

Author(s):

Edward M. Reece ◽

Scott N. Oishi ◽

Marybeth Ezaki

Keyword(s):

Elbow Flexion ◽

Flexion Contracture ◽

Contracture Release

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Extension Contracture Post Total Knee Replacement: A Case Report

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.5552 ◽

2021 ◽

Vol 9 (C) ◽

pp. 1-4

Author(s):

Sholahuddin Rhatomy ◽

Fais Alam Rasyid

Keyword(s):

Case Report ◽

Knee Arthroplasty ◽

Case Reports ◽

Flexion Contracture ◽

Continuous Passive Motion ◽

Flexion Extension ◽

Stiff Knee ◽

Contracture Release ◽

Total Knee ◽

The Right

BACKGROUND: Stiffness is a common problem after knee arthroplasty and need for further procedure. Patients who experience this problem usually have poor outcome. Flexion contracture is the most reported case in most case reports; however, we reported a rare case of patient with extension contracture after total knee arthroplasty (TKA). CASE REPORT: A 62-year-old woman was presented with a 3-month history of right TKA. After 3 month she came to the hospital and complained that she could not flex the knee. Nevertheless, she could still walk. On the right knee, there was quadriceps hypotrophy. There was no active and passive range of motion (ROM), because it was fixed at 0°. We performed medial parapatellar approach for knee arthrotomy and we added lateral parapatellar arthrotomy to release the contracture. The fibrotic tissues were removed. The flexion and extension of the knee were evaluated and we managed to get 0–130° of flexion-extension ROM. In the ward, the patient was treated using continuous passive motion (CPM) for 1 week and the CPM was maintained within the range of 0–130°. Six months after surgery, the patient could walk normal with ROM range between 0 and 100°. CONCLUSION: Stiff knee is a common problem after TKA. Close observation and proper rehabilitation can prevent stiff knee. Close manipulation, manipulation under anesthesia, arthroscopy debridement, and open contracture release are the option of this problem.

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Post burn flexion contracture of hand: a prospective study

International Surgery Journal ◽

10.18203/2349-2902.isj20193324 ◽

2019 ◽

Vol 6 (8) ◽

pp. 2823

Author(s):

Subbu Pilla Lakshmi Bai ◽

Raman Gunasekaran

Keyword(s):

Functional Outcome ◽

Graft Loss ◽

Skin Grafting ◽

Flexion Contracture ◽

Complication Rates ◽

Thermal Burns ◽

Contracture Release ◽

A Prospective Study ◽

Electrical Burns ◽

Standardization Of Procedures

Background: Burn contracture of the hand can cause severe functional and psychological deprivement in patients. This study mainly concentrates on different types of hand deformity cases presenting to our department and the various options used to correct them. The postoperative functional outcome is also compared so that standardization of procedures can be done. This study assesses the severity of the deformity, the success of various reconstruction options and the functional outcomes of cosmetic procedures.Methods: This work includes the study of 60 patients who underwent reconstruction for post-burn flexion contracture of the hand including fingers, in the department of plastic surgery, Government Rajaji Hospital, Madurai. The patients were treated between September 2009 to February 2012.Results: Males were twice commonly affected by burn injuries and thermal burns were more common than electrical burns. The little finger was more frequently involved and contracture release followed by grafting was the commonly done reconstructive procedure. Complications like recurrence, residual contracture, partial graft loss and infection were noted.Conclusions: Contracture release by multiple Z–plasty with or without skin grafting was sufficient in most cases of contracture due to thermal burns. Flaps were required for reconstructing electrical burns. Complication rates are higher in children than in adults and postoperative physiotherapy and splinting is mandatory to achieve a better functional outcome.

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The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

Open Medicine ◽

10.2478/s11536-008-0061-7 ◽

2010 ◽

Vol 5 (2) ◽

pp. 159-164

Author(s):

Haluk Duman ◽

Fatih Uygur ◽

Rahmi Evinç

Keyword(s):

Reverse Flow ◽

Functional Results ◽

Metacarpophalangeal Joint ◽

Flexion Contracture ◽

Recipient Site ◽

Contracture Release ◽

Thermal Injuries ◽

Joint Flexion ◽

Dorsal Metacarpal Artery ◽

The Aesthetic

AbstractWhen thermal injuries of the hand are managed inappropriately, complex hand contractures are inevitable. Patients with hand contractures may have many difficulties in their daily life because of this deformity. These patients are challenging to reconstructive surgeons. In this study we evaluated reverse-flow dorsal metacarpal artery flaps for the defects occurred after metacarpophalangeal joint contracture release of different fingers. Nineteen patients with defects on the volar surface of metacarpophalangeal joint were reconstructed by the reverse-flow dorsal metacarpal artery flaps. All operations were successful and flap losses were not seen. The DMCA flaps provide one stage coverage and permit primary closure of the recipient site. The aesthetic and functional results are satisfactory without sacrificing main arteries. The only drawback is the residual scar on the dorsum of the hand, which can be treated by conservative means and may improve over time.

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