Post-burn scars and scar contractures

Goel, Arun; Shrivastava, Prabhat

doi:10.4103/0970-0358.70724

Cited by 121 publications

(84 citation statements)

References 13 publications

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“…This is contrary to other studies which advocate for the release of the contracture after one year [10, 11]. The waiting period of one year is supposedly to allow the post-burn scar to mature, which is said to reduce the recurrence rate.…”

Section: Discussionmentioning

confidence: 74%

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Recurrence of post burn contractures of the elbow and shoulder joints: experience from a ugandan hospital

Balumuka

Galiwango²,

Alenyo

2015

BMC Surg

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BackgroundRecurrence of post-burn contractures, following inadequate management of post-burn contractures (PBC), is under reported. It is associated with multiple operations and an increased cost to patients and their families. The purpose of this study was to determine the frequency of recurrence of PBC of the shoulder and the elbow joint three months after surgical intervention and the associated risk- factors.MethodsThis was a prospective cohort study conducted at CoRSU hospital from March 2012 to November 2014. All patients with PBC of the elbow and/or shoulder joint who consented to be in the study and met the inclusion criteria were enrolled. Data was collected using a pretested, coded questionnaire. A goniometer was used to measure the active range of motion of the involved joint. The measurements were recorded in degrees. The data was analysed with STATA version 12.1.Results58 patients were enrolled consecutively in the study. There were 36 females and 22 males, with a female to male ratio of 1.6:1. The age range was 0.75–45 years, with a median age of 5 years. The average age at the time of injury was 3.4 years. The most common cause of initial burn injury was scalding. The average number of joints involved per patient was two. There was a high incidence of recurrence of PBC (52 %) among the participants. The shoulder had the highest frequency of recurrence at 67 %. The elbow joint had a frequency of recurrence of 27 %. All participants with both elbow and shoulder joint involvement had PBC recur. The risk factors for recurrence were flame burn (p = 0.007), duration of PBC of more than 1 year (p = 0.018), and incomplete release of the contracture (p = 0.002). The presence of keloids, hypertrophic scars, ulcers and the occurrence of complications at the contracture site were not associated with recurrence of PBC.ConclusionRecurrence of PBC of the elbow and shoulder joint is a common problem. The risk factors should be kept in mind during management of PBC to reduce the recurrence rate.Electronic supplementary materialThe online version of this article (doi:10.1186/s12893-015-0089-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 74%

“…Just as the inappropriate management of burns leads to the occurrence of PBC, inadequate management of PBC leads to their recurrence [1, 9, 10]. Recurrence has been reported in developed and developing countries following both surgical and non-surgical management [7–9].…”

Section: Introductionmentioning

confidence: 99%

Recurrence of post burn contractures of the elbow and shoulder joints: experience from a ugandan hospital

Balumuka

Galiwango²,

Alenyo

2015

BMC Surg

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“…These contractures are commonly dealt in a separate sitting. [10] With regards to treatment, 60% (N=32) of the patients under went scar excision and SSG. For all the patients with linear band contracture(N=6) multiple z plasty was done .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Ideal Surgical Method for Management of Post Burn Scar Contracture of Neck

Kumar¹,

Senthilkumar²,

Anandan³

2017

AIMDR

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Background: Post burn neck contractures not only affect the movements of the neck, but also can affect the function of the lower face as well as result in possible tracheal alteration and distortion of the cervical spine. As these contractures cause major functional and cosmetic problems with resultant economic and psychosocial implications, operative correction is generally recommended, particularly in children in whom they can cause growth imbalance in the head and neck area. Aim: To determine and recommend the ideal skin cover for the post burn scar contracture release defects with regard to both functional and cosmetic outcome. Methods: Patients who were diagnosed as having post burn scar contracture of neck by clinical examination, were taken up for the study. Results: In our study, contracture release followed by skin grafting was done in 28(70%) patients, contracture release and flap cover and multiple z plasty in 6 (15%) each. 11 patients (27%) felt good, and 3 patients (11%) felt excellent on cosmetic appearance. Conclusion: TYPE A contracture, release and flap cover with supraclavicular flap is highly recommended and should be the first choice. For TYPE B contracture, Supraclavicular flap is not sufficient and has to substituted with a skin grafting. For TYPE C scar, release and skin cover with grafting is the ideal choice provided, proper post op care such as immobilization, positioning and splinting and compression therapy are followed up.

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“…7 Studies have shown severe functional limitations and disfigurement from scars and have demonstrated the need to promptly and adequately treat burn wounds to prevent contractures from forming. [8][9] Chest contractures have also arisen iatrogenically from breast augmentation and reconstruction. [10][11] Regardless of the etiology, chest contractures (and contractures in general) cause multiple complications, and their treatment and prevention is important.…”

Section: Discussionmentioning

confidence: 99%

Treatment of chest burn contracture causing respiratory compromise with island release and grafting using cross-link collagen and Integra™ bilayer dressing

2014

SWRCCC

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Post-burn scars and scar contractures

Cited by 121 publications

References 13 publications

Recurrence of post burn contractures of the elbow and shoulder joints: experience from a ugandan hospital

Recurrence of post burn contractures of the elbow and shoulder joints: experience from a ugandan hospital

Evaluation of Ideal Surgical Method for Management of Post Burn Scar Contracture of Neck

Treatment of chest burn contracture causing respiratory compromise with island release and grafting using cross-link collagen and Integra™ bilayer dressing

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