Plastic surgery for post burn contractures , deformities & scars with reconstructive surgery скачать в хорошем качестве

Plastic surgery for post burn contractures , deformities & scars with reconstructive surgery

Thick burns scars near joint areas leads to contractures which limits range of movements of these body areas & ultimately reduced function. Deep burns that take more than 21 days to heal are at very high risk for scarring and contractures. Burns contractures in children can cause retardation of growth of involved part & recurrent contractures due to natural growth spurt. Contractures affect ability of burn survivor to move and take care of himself. If contractures involve your legs, patient may have difficulty squatting, sitting, walking, or climbing stairs. If contractures involve trunk and arms, patient may have difficulty with grooming, eating, dressing and bathing as well as working with hands. Some contractures are unavoidable, but many can be prevented with active involvement of survivor in rehabilitation program with splints & physiotherapy. All in One Contractures Release & Reconstruction: Bembde Burn Hospital is reconstructing multiple burn contractures at a single stage surgery in many complicated & deformed burn patients.This technique has advantages of early rehabilitation,economically very cheap & more effective. Release of Joint Contracture is done by Incising the Scarred Tissue & using Z-Plasty technique, skin grafting or flaps surgery. Mild contractures responds to lasers & spints. Prevention of contractures : The most effective method of controlling the wound contraction is to close the burn wound at the earliest using split-skin grafts in deep dermal and full thickness burns. It is done by applying grafts to fresh wounds as in early excision or over healthy granulating areas after eschar separation. Timings of surgery : In general, surgery for post-burn contractures should not be undertaken during the active phase of healing and scarring, This usually takes six months to one year. One must allow the scar to become mature, soft and supple and “avascular” before undertaking surgery for contractures unless there is emergency situation such as corneal exposure, difficulty in breathing & eating, involvement of both extremities, etc. Postoperative care : Maintenance of corrected position is mandatory until the graft has become stable (usually 3 weeks. Post-operative use of splints & daily Physiotherapy is required to keep the joints in full range of motion. This therapy is continued till the grafts have matured and complete range of motion is achieved for usually 1 year or so.