TYPE OF SURGERIES

Birth defects

Burns related deformities

Accidents/Trauma Injuries

Swellings on any part of the body

Nerve Disorders

Miscellaneous

Aesthetic

Orthopedic

Post-burn Contractures

  • Post-burn Contractures

Description of disability:

The scar may be supple or hypertrophic or keloidal. It may also show a tendency for repeated breakdowns. Any unstable area may also be associated with a Marjolin's ulcer.The deeper tissues may be affected either due to their involvement in the initial burn injury (e.g., electrical burns) or secondary to the presence of a skin contracture over a prolonged period of many years, which leads to shortening of musculotendinous units and neurovascular structures. The joints may be subluxated or dislocated, with joint capsule and ligaments becoming tight in the direction of the contracture. The bones may be deformed, especially in growing children, e.g., mandibular deformity in cases of post-burn contractures of the neck.

Treatment:

Maintenance of released/corrected position is mandatory until the graft has become stable (usually 3 weeks) or till the flap margins have healed. Post-operative use of static or dynamic splints, interspersed with a routine of daily physical therapeutic exercises is required to keep the joints in full range of motion especially if static splintage is used. This therapy is continued till the grafts have matured and complete range of motion is achieved. Care of the grafted areas is done as detailed above till the graft loses its tendency to contract and can be pinched and moved over the recipient area.

Post operative care: 

Maintenance of released/corrected position is mandatory until the graft has become stable (usually 3 weeks) or till the flap margins have healed. Post-operative use of static or dynamic splints, interspersed with a routine of daily physical therapeutic exercises is required to keep the joints in full range of motion especially if static splintage is used. This therapy is continued till the grafts have matured and complete range of motion is achieved. Care of the grafted areas is done as detailed above till the graft loses its tendency to contract and can be pinched and moved over the recipient area.


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