MANAGEMENT OF POST BURN CONTRACTURE OF NECK IN A TERTIARY BURN CARE CENTRE

Mapping Intimacies ◽

10.36106/ijsr/2601210 ◽

2021 ◽

pp. 33-35

Author(s):

Nangineedi Nagaprasad ◽

Karthik G B

Keyword(s):

Surgical Planning ◽

Skin Grafting ◽

Burn Care ◽

Split Skin Grafting ◽

Contracture Release ◽

Common Problems ◽

A Prospective Study ◽

Split Skin ◽

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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Patient-reported scar quality of donor-sites following split-skin grafting in burn patients: Long-term results of a prospective cohort study

Burns ◽

10.1016/j.burns.2020.12.005 ◽

2020 ◽

Author(s):

Catherine M. Legemate ◽

Pauline J. Ooms ◽

Nicole Trommel ◽

Esther Middelkoop ◽

Margriet E. van Baar ◽

...

Keyword(s):

Cohort Study ◽

Skin Grafting ◽

Long Term Results ◽

Burn Patients ◽

Split Skin Grafting ◽

Patient Reported ◽

Scar Quality ◽

Split Skin

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Clinicoepidemiological study of post burn contractures at a tertiary care centre in western India

International Surgery Journal ◽

10.18203/2349-2902.isj20192062 ◽

2019 ◽

Vol 6 (6) ◽

pp. 1896

Author(s):

Milind A. Mehta ◽

Vikrant Ranjan ◽

Abhishek K. Kulkarni ◽

Pradnya Sarwade

Keyword(s):

Tertiary Care ◽

Skin Grafting ◽

Western India ◽

Care Hospital ◽

Tertiary Care Centre ◽

Healthcare Facilities ◽

Rural Background ◽

Split Skin Grafting ◽

Split Skin ◽

Burn Contractures

Background: Burn injuries are one of the commonest form of trauma globally with long term consequences in the form of contractures. The management takes a troll of time, money and stress, despite that the agony remains with the patient only. We intended to study the clinicoepidemiopathological aspects of post burn contractures for a better understanding and management purpose.Methods: This study was conducted from October 2014 to February 2017 in a tertiary care hospital in western India and includes 51 patients.Results: In this study, we observed that the mean age of patients was 21.7 years and females formed 51% of the patient pool. Most of the patients came from a rural background with a mean distance of 77.72 kilometres from the treating hospital. Flame burns contributed to 78% of the cases, with hand (35.7%) being the most commonly involved area, 52.9% patients did not receive splinting or physiotherapy at the initial treatment of burns. Most cases were treated by split skin grafting (64.2%) and the most common complication seen in our study was infection, noted in 15.7% of cases whereas recurrence was seen in only one patient.Conclusions: We observed that young adults were the predominant group of patients with a slight female preponderance. Factors like increased distance from the treating hospital, rural background of patients, poor healthcare facilities with poor rehabilitative facilities and irregular follow up of patients contributed to increased incidence of post burn contractures. We also noted that majority cases can be treated by contracture release with split skin grafting without major complications.

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Deep Ulcer Shaving Combined With Split-Skin Transplantation in Distal Calciphylaxis

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734608317891 ◽

2008 ◽

Vol 7 (2) ◽

pp. 102-107 ◽

Cited By ~ 16

Author(s):

Uwe Wollina ◽

Catherine Helm ◽

Gesina Hansel ◽

André Koch ◽

Jaqueline Schönlebe ◽

...

Keyword(s):

Skin Grafting ◽

Cardiovascular Complications ◽

Wound Management ◽

Skin Infections ◽

Diabetes Mellitus Type Ii ◽

Split Skin Grafting ◽

Ulcer Surgery ◽

Causes Of Mortality ◽

Split Skin

Calciphylaxis is a cause of painful deep ulcers. There is controversy about best wound management in this disease. A retrospective study of inpatients during the 3 years was made. Seven calciphylaxis patients were identified. All patients suffered from various associated pathologies including diabetes mellitus type II and chronic renal insufficiency. Ulcers were treated by aggressive and deep shaving combined with autologous split-skin grafting in the same session. A 30% to 90% take rate of the grafts eventually with a complete ulcer healing in 6 of 7 patients was achieved. No patient developed a deep cutaneous infection or sepsis. All patients are still alive except one. The single death was related to cardiovascular complications. In distal calciphylaxis, aggressive ulcer surgery with defect closure offers a marked improvement in quality of life and prevents early deep skin infections and sepsis as major causes of mortality.

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Lower extremity gangrene in children from traditional bone setters care: an avoidable cause of limb loss

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20202889 ◽

2020 ◽

Vol 8 (7) ◽

pp. 2524

Author(s):

Richard C. Echem ◽

Phillip D. Eyimina

Keyword(s):

Lower Extremity ◽

Skin Grafting ◽

Relevant Information ◽

Orthopaedic Practice ◽

Port Harcourt ◽

Split Skin Grafting ◽

Common Diagnosis ◽

A Prospective Study ◽

Split Skin ◽

The University

Background: Worldwide, lower extremity gangrene in children is rare. In orthopaedic practice in developing countries, a frequent cause of extremity gangrene is the practice of traditional bone setting. Aim of the study was to document lower extremity gangrene in children resulting from the care of traditional bone setters’ as seen in a tertiary health institution.Methods: A prospective study of children presenting with lower extremity gangrene from the care of traditional bone setters at the University of Port Harcourt Teaching Hospital from January 2006 to December 2018. Data obtained included the patients socio-demographics and relevant information related to the diagnosis. Data was analysed with SPSS version 20.Results: Eighteen children with lower extremity gangrene were seen. Their ages ranged from 10 days to 132 months. There was a female preponderance. Their parents mostly had primary and secondary levels of education and majority were married. The most common diagnosis was tibiofibular fractures followed by congenital clubfoot. Trauma-related injuries were mostly from falls. Duration before presentation ranged from 7 to 28 days. Majority had massage, splinting and bandaging from the bone setter. Most common associated complication at presentation was sepsis. All had provisional amputation. Most common amputation was below knee. Most had stump refashioning within 15 days. One had split skin grafting. There was one mortality. Duration of hospital stay ranged from 3 to 65 days.Conclusions: Children at any age can develop lower extremity gangrene from traditional bone setters’ care. This is an avoidable and preventable sequelae of care. Parental health education is necessary to discourage their patronizing traditional bone setters.

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A prospective study on efficacy of topical bupivacaine in split skin grafting donor site in immediate postoperative pain relief

Indian Journal of Burns ◽

10.4103/ijb.ijb_2_20 ◽

2020 ◽

Vol 28 (1) ◽

pp. 18

Author(s):

Srikanth Vasudevan ◽

SudarshanReddy Nagireddy ◽

AshokBasur Chandrappa ◽

YN Anantheshwar ◽

Ritu Batth ◽

...

Keyword(s):

Postoperative Pain ◽

Pain Relief ◽

Prospective Study ◽

Donor Site ◽

Skin Grafting ◽

Postoperative Pain Relief ◽

Split Skin Grafting ◽

A Prospective Study ◽

Split Skin

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Management and outcome in patients with post burn contracture

International Surgery Journal ◽

10.18203/2349-2902.isj20185133 ◽

2018 ◽

Vol 6 (1) ◽

pp. 42 ◽

Cited By ~ 1

Author(s):

Manu Rajan ◽

Arnav Tyagi ◽

Sanjay Dvivedi ◽

Kinnari A. V. Rawat

Keyword(s):

Skin Grafting ◽

Developed Countries ◽

Medical Sciences ◽

Reconstructive Procedures ◽

Burn Care ◽

Thickness Skin ◽

Split Thickness Skin Grafting ◽

Contracture Release ◽

Flap Cover ◽

Burn Contractures

Background: Post burn contractures are distressingly common and severe in developing nations and considered as a significant problem in developed countries as well. Despite advances in the overall management of burn injuries, severe post-burn contractures continue to be a formidable foe for reconstructive surgeons in developing countries.Methods: The study was carried out in Department of Surgery, Himalayan Institute of Medical Sciences, SRH University, Swami Ram Nagar, Dehradun over a period of 12months. Cases of the post burn contractures attended in the O.P.D were included in the study.Results: Contracture release with split thickness skin grafting STSG in 25 (55.5%) cases. Contracture release with STSG with flap cover was performed in 7 cases (15.5%), contracture release with K wire insertion with coverage was performed in 8 cases (17.7%) and Z plasty was performed in 5 cases (11%).Conclusions: There have been major advances in burn care in the last three decades and the mortality rates have gone down significantly. The management has shifted to improvement of functional outcome and better quality of life. Proper planning of reconstructive procedures, rehabilitation, restoration to pre-injury status and return to society are the goals that the treating team hopes to achieve.

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