PATTERN OF POST BURN CONTRACTURE OF HAND IN EASTERN INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 37
Abstract
BACKGROUND Contracture of the hand poises great morbidity. Despite increasing sophistication in the overall management of acute thermal injuries, contractures still occur and are the most common cause of skin contracture in the hand. The problem of post burn contracture is largely preventable by good initial care. We studied 60 consecutive patients of post burn contracture of hand treated at Rajendra Institute of Medical Sciences, Ranchi, India with the aim to observe different patterns of post-traumatic contracture in hand and to assess the result of various treatment modalities. RESULTS Children and infants were most commonly involved with M:F ratio being 1.3:1. Flame burn was found to be the most common etiological factor. Right hand was involved in 53.33% of cases. Fingers were the most common anatomical site involving 90% of patients followed by wrist and palm. Only 23.33% patients were initially treated by a specialist while majorities i.e. 46.67% were initially treated by quacks or paramedical personnel. Z-Plasty was used as a method of reconstruction in 50% of cases and was the most common surgical intervention used followed by V-Y plasty in 20% cases. CONCLUSION Major causes of neglect in the treatment of post burns contracture were illiteracy. Reconstructive procedures can greatly improve the function of the hands. Appropriate choice of procedures and timely surgery is the key for treatment.
Authors and Affiliations
Nishith Ekka, Pankaj , Shital
Keywords
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- EP ID EP90891
- DOI 10.14260/jemds/2016/515
- Views 82
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