How to measure the True defect while planning reconstruction in cases of post burn contractures

Background: Post burn contracture is one of the most common problems in our country and usually seen in lower socio-economic people. Burn contractures of the neck can produce a signicant impact on quality of life by reducing a patient's ability to perform activities of daily living Methods: A prospective study was conducted with a sample size of 30 patients with post burn neck contracture conducted for a duration of 24 months. After meticulous surgical planning, patients underwent contracture release and split skin grafting/z-plasty followed by rigorous splintage and physiotherapy. Majority of the patients were in the age group of 11-30 years (63%).70% of the Results: patients sustained burns in the range of 21-40% and 80% were due to ame burns.46.66% (14) of patients had severe contracture while 13.33% (4) had extensive mento-sternal adhesions. 90% of the patients underwent release + SSG while 10% underwent z-plasty. Postoperatively cervico-mental angle of 100-120 degrees was achieved Skin grafting is a simple, reliable and safe operation however postoperative splinting is n Conclusion: ecessary. The use of skin grafts continues to deliver excellent results with adequate restoration of cervico-mental angle.

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Stem cell enriched dermal substitutes for the treatment of late burn contractures in patients with major burns

Burns ◽

10.1016/j.burns.2017.09.026 ◽

2018 ◽

Vol 44 (3) ◽

pp. 724-726 ◽

Cited By ~ 1

Author(s):

Nikolaos Arkoulis ◽

Stuart Watson ◽

Eva Weiler-Mithoff

Keyword(s):

Stem Cell ◽

Dermal Substitutes ◽

Burn Contractures

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Treatment of Pediatric Treadmill Burn Contractures With Ablative Fractional Laser and Topical Triamcinolone Suspension

Dermatologic Surgery ◽

10.1097/dss.0000000000001553 ◽

2018 ◽

Vol 44 (12) ◽

pp. 1656-1659 ◽

Cited By ~ 1

Author(s):

Joanna H. Tu ◽

Jeremy A. Udkoff ◽

Lawrence F. Eichenfield

Keyword(s):

Fractional Laser ◽

Ablative Fractional Laser ◽

Burn Contractures

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Complex foot deformity and Illizarov technique: a record-based study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20201558 ◽

2020 ◽

Vol 6 (3) ◽

pp. 521

Author(s):

Naveen Kumar S. ◽

Anirudh C. Kulkarni ◽

Arun K. Nayak ◽

Roshan Kumar ◽

Alvin Sajan ◽

...

Keyword(s):

Neuromuscular Diseases ◽

Foot Deformities ◽

Ilizarov Method ◽

Age Group ◽

Foot Deformity ◽

Medical College ◽

Foot Problems ◽

Ilizarov Fixator ◽

Burn Contractures ◽

Orthopedic Ward

Background: Complex foot deformities may occur as a result of trauma, poliomyelitis, osteomyelitis, burn contractures, neuromuscular diseases or may present as a resistant congenital contracture such as clubfoot. The Ilizarov fixator is new and more efficient method in the treatment of orthopedic foot problems. The aim of the study was to assess the outcome of Illizarov technique.Methods: This is a hospital record-based study conducted in 32 patients of foot deformity at orthopedic ward of Navodaya Medical college and Hospital, Raichur. The record- based data was collected in January to July 2019. Data analysis done with SPSS 24.0 version IBM USA.Results: Majority of the subjects were from 0 to 5 years age group i.e. 14 (43.8%). Mean age was 26.2±4.9 years. Majority in our study were males i.e. 71.9%. In majority of the cases, the cause of foot deformity was neglected and relapsed club foot i.e. 12 (37.5%). Treatment period was 22±7 weeks. Conclusions: The Ilizarov method can successfully correct complex foot deformities. Success rate was 90.6%.

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A study of the use of the supraclavicular artery flap for resurfacing of head, neck, and upper torso defects

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699304 ◽

2009 ◽

Vol 42 (01) ◽

pp. 004-012

Author(s):

Parag Telang ◽

Mukund Jagannathan ◽

Maksud Devale

Keyword(s):

Head And Neck ◽

Neck Region ◽

Free Flaps ◽

Acceptable Result ◽

Operative Morbidity ◽

Head And Neck Region ◽

Texture Match ◽

Burn Contractures ◽

Head Neck ◽

Tissue Defects

ABSTRACTThe head and neck region is an aesthetically demanding area to resurface because of its high visibility. Tissue defects in this area often require distant flaps or free flaps to achieve an aesthetically acceptable result. The use of the Supraclavicular artery flap represents an extremely versatile and useful option for the resurfacing of head, neck and upper torso defects. Furthermore, islanding the flap gives it a wide arc of rotation and the color and texture match is superior to that of free flaps harvested from distant sites. In our study, we used the flap (both unexpanded and expanded) predominantly for resurfacing neck defects resulting from the release of post-burn contractures. However, its applicability in other indications would also be similar. Except one, all our flaps survived almost completely and the post-operative morbidity was very low. We conclude that the supraclavicular artery flap not only provides a reasonably good color and texture match but also maintains the multi-directional activity in the neck region.

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A comparative study to evaluate the effect of honey dressing and silver sulfadiazene dressing on wound healing in burn patients

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699339 ◽

2009 ◽

Vol 42 (02) ◽

pp. 176-181

Author(s):

P. S. Baghel ◽

S. Shukla ◽

R. K. Mathur ◽

R. Randa

Keyword(s):

Wound Healing ◽

Average Duration ◽

Total Body Surface Area ◽

Burn Patients ◽

The Mean ◽

Total Body ◽

Time Of Admission ◽

And Control ◽

Burn Contractures

ABSTRACTTo compare the effect of honey dressing and silver-sulfadiazene (SSD) dressing on wound healing in burn patients. Patients (n=78) of both sexes, with age group between 10 and 50 years and with first and second degree of burn of less than 50% of TBSA (Total body surface area) were included in the study, over a period of 2 years (2006-08). After stabilization, patients were randomly attributed into two groups: ‘honey group’ and ‘SSD group’. Time elapsed since burn was recorded. After washing with normal saline, undiluted pure honey was applied over the wounds of patients in the honey group (n=37) and SSD cream over the wounds of patients in SSD group (n=41), everyday. Wound was dressed with sterile gauze, cotton pads and bandaged. Status of the wound was assessed every third and seventh day and on the day of completion of study. Patients were followed up every fortnight till epithelialization. The bacteriological examination of the wound was done every seventh day. The mean age for case (honey group) and control (SSD group) was 34.5 years and 28.5 years, respectively. Wound swab culture was positive in 29 out of 36 patients who came within 8 hours of burn and in all patients who came after 24 hours. The average duration of healing in patients treated with honey and SSD dressing at any time of admission was 18.16 and 32.68 days, respectively. Wound of all those patients (100%) who reported within 1 hour became sterile with honey dressing in less than 7 days while none with SSD. All of the wounds became sterile in less than 21 days with honey, while tthis was so in only 36.5% with SSD treated wounds. The honey group included 33 patients reported within 24 hour of injury, and 26 out of them had complete outcome at 2 months of follow-up, while numbers for the SSD group were 32 and 12. Complete outcome for any admission point of time after 2 months was noted in 81% and 37% of patients in the honey group and the SSD group. Honey dressing improves wound healing, makes the wound sterile in lesser time, has a better outcome in terms of prevention of hypertrophic scarring and post-burn contractures, and decreases the need of debridement irrespective of time of admission, when compared to SSD dressing.

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