Reconstruction of Post-Burn Contracture of Fingers
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Reconstruction of post-burn contracture of fingers is a formidable challenge for the plastic surgeons, for it is important to restore length, function, and provide good quality skin cover. Our aim is to study the appropriate reconstructive options for post-burn scar contracture (PBSC) of fingers and their functional outcome. Materials and Methods: Totally, 48 cases of PBSC of fingers were reconstructed between September 2016 and April 2017 and were evaluated for their etiology, interval between burns and reconstruction, number of fingers involved, degree and type of contracture, reconstructive option chosen and performed and their functional outcome. Results: Results were analyzed as per successful reconstruction, type of reconstruction and stages, return to activities, complications, and functional outcome. Conclusion: In this series, decision behind the reconstructive option chosen is emphasized. In pediatric age group, full thickness graft has shown better results. Distant flaps were used only if necessary for it is bulky. The surgical outcome has shown improvement in function. Early intervention in acute burns by plastic surgeon can prevent such functional disabilities to a great extent.
Authors and Affiliations
R Sridhar
Keywords
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