97 Role of Early Splinting, Positioning, and Edema Control of Burn Effected Joints in the Prevention of Burn Scar Contracture

2018 ◽  
Vol 39 (suppl_1) ◽  
pp. S54-S54
Author(s):  
J Lensing ◽  
L Wibbenmeyer ◽  
J Liao
Keyword(s):  
AYUSHDHARA ◽  
2020 ◽  
pp. 2685-2688
Author(s):  
Mahesh Kumar

The burn scar and contracture cases are highly common. The burn scar is inevitable even after best effort and contracture is common complication after burn which restrict the movement of injured area. The healed burn scar cases lead to varying degrees of functional and aesthetic components. Many treatment modalities are available for their treatment. The occupational therapy, physiotherapy and surgical release of burn contracture are in practice but not cured easily. Ayurveda have different treatment modality for the treatment of wound and their complications one of them is Agnikarma. The Agnikarma is simply intentional therapeutic heat burn therapy and is in practice to reduce the Stabdhta (stiffness) in disease condition. The Agnikarma is indicated in diseases caused by Vata and Kapha doshas. The purpose of case report is to show the role of Agnikarma in releasing burn contracture and to make painless hand movement. The traditional Bindu type linear Agnikarma with the help of Tamra shalaka (copper rod) performed at the stiffness site followed by Ghritkumari (Aloevera Linn.) paste and Yastimadhu (Glycirrhiza glabra Linn.) powder application. The Agnikarma have effect in loosening and releasing of burn contracture. Finally, the patient got benefited.


2017 ◽  
Vol 5 ◽  
Author(s):  
Sadanori Akita ◽  
Kenji Hayashida ◽  
Satoshi Takaki ◽  
Yoshihisa Kawakami ◽  
Takuto Oyama ◽  
...  

Abstract A neck scar contracture can severely and negatively affect the function of mastication, phonic, or breathing and result in neck pain and issues with esthetics. The best way is of course to avoid such contracture by means of non-surgical treatment such as use of a growth factor. The basic fibroblastic growth factor is clinically well proven in decreasing scar formation and improving healing. There are numerous reconstructive methods for neck contracture, especially when the lesions are relatively limited in part of the neck. However, a very severe and full circumferential scar contracture requires extensive reconstruction. The thin groin flap is one of the answers and well matches with the tissue texture and maintains the flexibility. Even with extensive burns and delayed reconstructions due to resuscitation first, the groin area is well preserved and can be safely harvested by dual vasculature systems of the superficial circumflex iliac artery and superficial epigastric artery, which warrant more reliability compared to the perforator flaps in this area. More demanding and stringent forms of the neck burn scar contracture are the sequelae of radiation. A radiation burn or radiation injury can be progressing and hard to heal. Adipose-derived stem cells can reverse the scar contracture as the surrounding tissue is softened and can accelerate wound healing. In this review, different types of neck burn scar contracture and reconstructive methods are summarized, including innovative use of bFGF and ADSCs in the management of difficult wound healing and scar contracture.


2017 ◽  
Vol 38 (1) ◽  
pp. e62-e69 ◽  
Author(s):  
Reg Richard ◽  
Alexis R. Santos-Lozada ◽  
W. Scott Dewey ◽  
Kevin K. Chung
Keyword(s):  

2009 ◽  
Vol 30 (4) ◽  
pp. 625-631 ◽  
Author(s):  
Reginald L. Richard ◽  
Mark E. Lester ◽  
Sidney F. Miller ◽  
J Kevin Bailey ◽  
Travis L. Hedman ◽  
...  

2016 ◽  
Vol 138 (5) ◽  
pp. 896e-902e ◽  
Author(s):  
Lawrence Cai ◽  
Vinita Puri ◽  
Mohan Krishna Dangol ◽  
Iftekhar Ibne Mannan ◽  
Shafquat Hussain Khundkar ◽  
...  
Keyword(s):  

1998 ◽  
Vol 21 (2) ◽  
pp. 103-105
Author(s):  
T. Masuoka ◽  
M. Fujikawa ◽  
T. Ohyama ◽  
S. Takagi ◽  
Y. Abe
Keyword(s):  

2018 ◽  
Vol 27 (1) ◽  
pp. 66-77 ◽  
Author(s):  
Ryan T. Lewinson ◽  
Lauren C. Capozzi ◽  
Kody Johnson ◽  
Alan Robertson Harrop ◽  
Frankie O. G. Fraulin ◽  
...  

Objective: Perforator flaps are one possible surgical treatment for burn scar contractures; however, a review of evidence on this topic is lacking. Methods: MEDLINE was searched for articles related to perforator flaps for burn contractures. Following title and abstract screen, full texts were searched to identify articles describing perforator flaps for burn scar joint contractures. Data were extracted and summarized descriptively. Only articles that contained ≥10 patients with burn scar contracture were considered. Results: Two hundred forty-eight articles were identified, of which 17 met criteria for review. Of these, 16 were low-quality case series, while 1 was an open randomized controlled trial. In total, perforator flaps were performed on 339 patients (age range: 3-75 years), with the most common contracture locations being cervical (n = 218) and knee (n = 41). Nine of the 17 articles described a rehabilitation strategy. In general, functional outcomes were excellent, with the majority of patients experiencing return of normal joint range of motion and no recontracture. Compared to full-thickness skin grafts, perforator flaps showed greater improvements in joint range of motion. Cosmetically, perforator flaps were shown to have good color match with surrounding tissue, good contour around anatomical landmarks, and improved overall patient appearance. The most common complications were marginal flap necrosis (n = 26 patients) and venous congestion (n = 17 patients). Conclusions: Preliminary evidence from low-quality case series and 1 high-quality trial suggests perforator flaps may be successful for resurfacing released burn scar contractures; however, there is a need for additional trials comparing perforator flaps to other approaches.


2019 ◽  
Vol 40 (Supplement_1) ◽  
pp. S1-S2
Author(s):  
I Parry ◽  
R Richard ◽  
M Yelvington ◽  
K Jacobson ◽  
L Ware ◽  
...  
Keyword(s):  

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