MODERN APPROACHES TO THE MANAGEMENT OF POST-BURN SCAR CONTRACTURES OF THE SHOULDER AND ELBOW JOINTS IN CHILDREN
Abstract
The article compares traditional and modern surgical treatment methods for post-burn scar contractures of the shoulder and elbow joints in children. The study was conducted on 98 patients with post-burn scar contractures of the shoulder and elbow joints, who were treated in the Department of Maxillofacial and Plastic Surgery at the Andijan Regional Multidisciplinary Children's Medical Center. Among them, 47 patients were included in the control group, and 51 patients were included in the main group. In the main group, surgical correction of scar contractures of the shoulder and elbow joints was performed using a modern surgical technique involving a “double-humped” skin flap. The results demonstrated that the modern surgical method achieved favorable outcomes in 96% of cases in the treatment of post-burn scar contractures of the shoulder and elbow joints.
Keywords
burn, scar, scar contracture, “double-humped” skin flap, joint.
References
- Cha J.A., Yoon S.H. Axillary reconstruction using a pedicled thoracodorsal artery perforator flap including latissimus dorsi muscle strip // Journal of wound management and research. - 2020. - Vol. 16 (1). - Р. 43-48.
- Hultman C.S., Use of scarred flaps and secondary flaps for reconstmctive surgery of extensive burns. Burns Incl. Thermlnj. 2010.
- Lickstein L.H., Bentz ML. Reconstruction of pediatric foot and ankle trauma //Craniofac. Surg.- 2003.- Vol.14 (4).- P.559-565.
- Ogawa R., Akaishi S, Huang C. et al. Clinical applications of basic research that shows reducing skin tension could prevent and treat abnormal scarring: the importance of fascial/subcutane-ous tensile reduction sutures and flap surgery for keloid and hypertrophic scar reconstruction // J Nihon Med Sch. 2011;78:68-76.
- Uba A.F., Edino S.T., Yakubu A.A. Paediatric burns: management problems in a teaching hospital in north western Nigeria..Burns. 1994.
- El Ezzi O., Dolci M., Dufour C., et al. Surgery on burns sequelae in developing countries // Ann Burns Fire Disasters. 2017; 30:47-51.
- Elmasry M., Steinvall I., Thorfinn J. et al. Staged excisions of moderate-sized burns compared with total excision with immediate autograft: an evaluation of two strategies // Int. J Burns Trauma. - 2017. - Vol. 7, N1. - P. 6-11.
- Eryilmaz T., Uygur S. Keloids: a rare location and review of the literature // Eur J Plast Surg. 2010;33(3):2210-223.
- Escriva-Machado J., Camacho-Quintero E., Maciel-Miranda A., Almeida-Navarro S. Hypertrophic Scarring // in book: Wound Healing. - 2020. - 90792.
- Gangemi EN, Gregori D, Berchialla P, et al. Epidemiology and risk factors for pathologic scarring after burn wounds. Arch Facial Plast Surg 2008;10:93-102.
- Giordano L, Santo DiD, Bondi S, et al. The supraclavicular artery island flap (SCAIF) in head and neck reconstruction: an Italian multi-institutional experience. Acta Otorhinolaryngol Ital. 2018; 38 (6): 497-503. DOI: 10.14639/0392-100X-1794.