“Namaste Flap”

Karki, Durga; Muthukumar, Vamseedharan; Dash, Suvashis

doi:10.1097/sap.0000000000002076

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Physiotherapy, serial casting, static/dynamic splintage, scar management (silicone gel therapy, massage therapy, compression therapy, intralesional corticosteroid injection, laser therapy, etc), and primary and reconstructive surgeries play important roles in maintaining ROM, minimizing the development of deformities, and maximizing the functional ability 8,9 . Surgery is always required to correct SPECS 10 . The principles of surgical intervention consist of the “3C” elements: (1) contracture release, (2) correction of articular position, and (3) coverage of the subsequent defect.…”

Section: Conventional Treatment and Their Limitationsmentioning

confidence: 99%

“…8,9 Surgery is always required to correct SPECS. 10 The principles of surgical intervention consist of the "3C" elements: (1) contracture release, (2) correction of articular position, and (3) coverage of the subsequent defect. Traditional reconstructive options included skin grafting, adjacent tissue rearrangement, local/pedicle/free flaps, and tissue expansion.…”

Section: Conventional Treatment and Their Limitationsmentioning

confidence: 99%

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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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Section: Conventional Treatment and Their Limitationsmentioning

confidence: 99%

Section: Conventional Treatment and Their Limitationsmentioning

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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Our Definition of Propeller Flaps and Their Classification

et al. 2020

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The term propeller flap was introduced for the first time by Hyakusoku to define an island flap, based on a subcutaneous pedicle hub, that was rotated 90 degrees to correct scar contractures due to burns. With the popularization of perforator flaps, the propeller movement was applied for the first time to a skin island vascularized only by an isolated perforator, and the terms propeller and perforator flap were used together. Thereafter, the surgical technique of propeller flaps evolved and new applications developed. With the “Tokyo consensus,” we proposed a definition and a classification schema for propeller flaps. A propeller flap was defined as an “island flap that reaches the recipient site through an axial rotation.” The classification included the SPP (SPP) flap, the perforator pedicled propeller (PPP) flap, and the supercharged PPP (SCP) flap. A recent update added a new category, the axial pedicled propeller (APP) flap. Here we propose our updated and comprehensive classification of propeller flaps, taking into account the previous classification and subsequent publications. Based on their vascular pedicle, we consider the following five types of propellers: (1) SPP flap, 2.PPP flap, its subtype (2a) SCP flap, (3) APP flap, (4) muscle propeller flap, and (5) chimeric propeller flap. The variables that can be taken into account in the classification are as follows: type of nourishing pedicle, degrees of skin island rotation, position of the nourishing pedicle, artery of origin of the pedicle, and flap shape.

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International Abstracts

2003

Substance Use & Misuse

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IAGNOSIS OF LONG-TERM SEQUELAE AFTER LOW-VOLTAGE ELECTRICAL INJURY This study set out to assess the efficacy of diagnosis tests and speciality consultations in establishing the diagnosis of long-term symptoms after low-voltage electrical injury (EI). A retrospective hospital chart review of low-voltage electrical-injured patients admitted to the outpatient burn clinic of a rehabilitation hospital was conducted between January 2002 and March 2006. A comparison was made between the results of tests and speciality consultations in patients with low-voltage contact injuries and patients with lowvoltage flash injuries. Forty patients were treated for low-voltage EI, all injuries occurring at work. Three patients were excluded due to lack of exact voltage documentation. Of the remaining 37 patients, there were 31 males and 6 females with a mean age of 36.7 ± 11.0 yr and a mean TBSA of 7.7 ± 7.3%. Of 83 specialty consultations, the most regarded psychology (38.6%), physiatry (21.7%), neurology (15.7%), and orthopaedic (8.4%). Eighty per cent of consultations found no pathology. Patients with electrical contact injury had more specialty consultations, especially neurology and more tests than patients with electrical flash injury. The majority of the CT scans and magnetic resonance imaging scans performed in electrical contact injury patients were negative. Ultrasound, bone scan, and x-rays were also largely negative. Lowvoltage electrical-injured patients were therefore frequently found to be referred for specialty consultations and tests which were usually not effective for correlating long-term symptoms with the initial EI.

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“Namaste Flap”

Cited by 3 publications

References 19 publications

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

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

Our Definition of Propeller Flaps and Their Classification

International Abstracts

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