Correction of post burns contracture of wrist with Ilizarov method

Madhuri, Vrisha; Dhanraj, Prema

doi:10.1016/s0305-4179(98)00055-2

Cited by 15 publications

(6 citation statements)

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“…The external fixator was gradually distracted over a 6-week period, bringing the wrist to a neutral position. Although it was once thought that 1-stage correction of the contracture would result in excessive stretching of the vessels and vascular compromise, 4 we have not seen this in any of our patients. Only 1 patient needed a carpal tunnel release because of median nerve compression.…”

Section: Discussioncontrasting

confidence: 63%

The Use of External Skeletal Fixation to Facilitate the Surgical Release of Wrist Flexion and Thumb Web Space Contractures

Acartürk¹,

Ashok²,

Lee³

2006

The Journal of Hand Surgery

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Section: Discussioncontrasting

confidence: 63%

The Use of External Skeletal Fixation to Facilitate the Surgical Release of Wrist Flexion and Thumb Web Space Contractures

Acartürk¹,

Ashok²,

Lee³

2006

The Journal of Hand Surgery

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“…Lengthening of skin along with bone and soft tissue is regularly done in orthopaedic surgery utilizing the Ilizarov method, which is based on the principle of tissue growth under tension. 3,4,5,6 Skin stretching devices and techniques have been described in the literature. 1,2 We have utilized a combination of these two approaches whereby skin was lengthened gradually in a controlled fashion to treat circumferential skin loss.…”

Section: Discussionmentioning

confidence: 99%

Circumferential skin defect - Ilizarov technique in plastic surgery

Madhuri

Kurpad

Nithyananth

et al. 2004

Indian J Plast Surg

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A young man had an open fracture of the tibia with bone and soft tissue loss in the distal part of the left leg following a crush injury. The circumferential skin defect was successfully treated with controlled lengthening of the distal skin by the Ilizarov technique using nylon wires and skin staples to apply traction. This was combined with limb reconstruction done simultaneously using orthofix external fixator. This case report highlights the use of an orthopaedic technique to provide skin cover in distal leg.

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“…Among them, the external circular frame (ECF) is the most commonly used apparatus to correct joint deformities caused by trauma, 15 congenital malformations, 16 and hemophilia 17 . Several studies have also demonstrated that the ECF is an effective and safe technique for the correction of postburn contractures of the foot and ankle, 18,19 knee, 20,21 and wrist 22 . However, few studies to date have reported the use of ECF for the correction of SPECS.…”

Section: External Circular Fixation Techniquementioning

confidence: 99%

Treatment of Severe Postburn Contracture of the Elbow via Distraction With External Circular Frame in Pediatric Patient

Niu

Yin

et al. 2021

Ann Plast Surg

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Background Although external circular frame (ECF) has been widely used for the correction of knee and ankle deformities, few studies reported the use of ECF for the treatment of severe postburn elbow contracture and stiffness (SPECS). The purpose of this retrospective study was to investigate the effectiveness and safety of the distraction using ECF in treating SPECS. Methods After institutional review board approval, we implemented a retrospective single-center case series study composed of consecutive patients treated for SPECS at Chinese PLA General Hospital between January 2010 and January 2018. After scar release and skin grafting, distraction with ECF was performed for 4 to 6 weeks, and the frame was retained for 2 more weeks before removal. Four weeks of splinting and at least 1 year of rehabilitation were recommended. Patient demographics, active and passive range of motion (ROM) of the elbow at different time points (preoperative, postdistraction, and final follow-up), and complications were collected from the electronic medical record. The primary outcome was the long-term improvement of the ROM. Other outcomes included complications and recurrence. Results The ECF was used to treat SPECS in 6 patients (3 males and 3 females, average age of 11.7 ± 2.6 years). Scar release and distraction with ECF significantly increased both active (from 3° preoperative to 38.7° postdistraction) and passive (from 3.5° preoperative to 48.3° postdistraction) ROM over an average distraction duration of 5.2 weeks. The long-term improvement of active and passive ROM was 38° ± 13.4° and 46° ± 14.7°, respectively, over a median follow-up of 4.1 years. Pin-tract infection occurred in 2 patients and were treated with local wound care and oral antibiotics. A tendon readhesion developed in 1 of the 6 patients because of noncompliance with splinting and physiotherapy, and was treated with revision surgery. Conclusions The 3C strategy (i.e., contracture release, coverage of the defect with skin grafting, and correction of articular angle with gradual distraction using the ECF) is able to increase the ROM with minor complications. We recommend distraction with ECF as part of the treatment arsenal, particularly for severe contractures in which 1-stage correction is unfeasible because of considerable soft tissue shortening.

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Correction of post burns contracture of wrist with Ilizarov method

Cited by 15 publications

References 1 publication

The Use of External Skeletal Fixation to Facilitate the Surgical Release of Wrist Flexion and Thumb Web Space Contractures

The Use of External Skeletal Fixation to Facilitate the Surgical Release of Wrist Flexion and Thumb Web Space Contractures

Circumferential skin defect - Ilizarov technique in plastic surgery

Treatment of Severe Postburn Contracture of the Elbow via Distraction With External Circular Frame in Pediatric Patient

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