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2017 ; 5
(ä): 9
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Surgical treatment algorithms for post-burn contractures
#MMPMID28317000
Hayashida K
; Akita S
Burns Trauma
2017[]; 5
(ä): 9
PMID28317000
show ga
Burn contractures produce restrictions in motion and unacceptable aesthetic
results, frequently with persistent wounds. Proper planning and tissue selection
are essential to minimize donor site morbidity optimizing outcomes. The principle
of burn reconstructive surgery requires that the defects after release should be
replaced with donor tissues which have matching texture and color as well as
enough pliability. Autologous skin grafting or flap surgeries meet these criteria
to replace scar tissues and resurface the subsequent to post-released scar
defects. Despite the benefits, the use of flaps is often limited in burn patients
for many reasons. If a surgeon intends to release completely and reconstruct in
one-stage operation, a large defect may result in large donor site morbidity,
necessitating flap surgery including free flap surgery. A lot of different
methods and procedures are available for resurfacing the defects, and these are
reviewed. In this article, algorithms for the release of burn contractures and
reconstructive methods are presented. These treatment algorithms should aid in
achieving significant improvement in both joint motions and aesthetic
deformities.
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