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Surgical treatment algorithms for post-burn contractures.

作者信息

Hayashida Kenji, Akita Sadanori

机构信息

Division of Plastic and Reconstructive Surgery, Department of Dermatology, Faculty of Medicine, Shimane University Hospital, 89-1 Enya-cho, Izumo, Shimane 693-0021 Japan.

Department of Plastic Surgery, Wound Repair and Regeneration, Fukuoka University, Fukuoka, Japan.

出版信息

Burns Trauma. 2017 Mar 14;5:9. doi: 10.1186/s41038-017-0074-z. eCollection 2017.


DOI:10.1186/s41038-017-0074-z
PMID:28317000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5348756/
Abstract

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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/74237730e586/41038_2017_74_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/7b073f6b39f8/41038_2017_74_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/3f41aebfe791/41038_2017_74_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/fd58f7d2d3b6/41038_2017_74_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/74237730e586/41038_2017_74_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/7b073f6b39f8/41038_2017_74_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/3f41aebfe791/41038_2017_74_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/fd58f7d2d3b6/41038_2017_74_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab14/5348756/74237730e586/41038_2017_74_Fig4_HTML.jpg

相似文献

[1]
Surgical treatment algorithms for post-burn contractures.

Burns Trauma. 2017-3-14

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
Neck burn reconstruction with pre-expanded scapular free flaps.

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[10]
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引用本文的文献

[1]
Outcomes of Microsurgical Reconstruction of Post-Burn Joint Contracture-Systematic Review and Meta-Analysis.

Microsurgery. 2025-9

[2]
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Cureus. 2025-3-11

[3]
A Comparative Analysis of the Outcomes of Various Graft Types in Burn Reconstruction Over the Past 24 Years: A Systematic Review.

Cureus. 2024-2-15

[4]
Local Flap Reconstruction of Burn Contractures in Extremities and Neck: A Nine-Year Experience with Long-Term Outcome Evaluation in Southwestern Iran.

World J Plast Surg. 2023

[5]
Burns: Classification, Pathophysiology, and Treatment: A Review.

Int J Mol Sci. 2023-2-13

[6]
Surgical treatment results in patients with defects of the integumentary tissues of the trunk and limbs of mechanical origin.

J Med Life. 2022-11

[7]
Release of Severe Postburn Contracture of Index Finger with Two-stage Reconstruction.

Plast Reconstr Surg Glob Open. 2022-5-19

[8]
Skin Graft Versus Local Flaps in Management of Post-burn Elbow Contracture.

Cureus. 2021-12-27

[9]
The Effectiveness of Burn Scar Contracture Release Surgery in Low- and Middle-income Countries.

Plast Reconstr Surg Glob Open. 2020-7-15

[10]
Reconstruction of severe burn contractures of the upper lip in males using a pedicled superficial temporal artery hair-bearing flap. Two case reports.

Int J Surg Case Rep. 2020

本文引用的文献

[1]
Perforator-Based Interposition Flaps Perform Better Than Full-Thickness Grafts for the Release of Burn Scar Contractures: A Multicenter Randomized Controlled Trial.

Plast Reconstr Surg. 2017-2

[2]
Reverse-flow anterolateral thigh perforator: an ad hoc flap for severe post-burn knee contracture.

Ann Burns Fire Disasters. 2016-3-31

[3]
The Utility and Versatility of Perforator-Based Propeller Flaps in Burn Care.

J Burn Care Res. 2017

[4]
Bifurcated Superficial Temporal Artery Island Flap for the Reconstruction of a Periorbital Burn: An Innovation.

Plast Reconstr Surg Glob Open. 2016-6-17

[5]
Propeller Flaps: A Literature Review.

In Vivo. 2016

[6]
Effectiveness of basic fibroblast growth factor for pediatric hand burns.

J Tissue Viability. 2016-11

[7]
Superficial circumflex iliac artery pure skin perforator-based superthin flap for hand and finger reconstruction.

J Plast Reconstr Aesthet Surg. 2016-6

[8]
Bipedicled "Superthin" Free Perforator Flaps for Facial Burn Scar Reconstruction: Expanded Scope of Superthin Flaps: A Case Series.

Plast Reconstr Surg Glob Open. 2015-8-25

[9]
Preliminary results in single-step wound closure procedure of full-thickness facial burns in children by using the collagen-elastin matrix and review of pediatric facial burns.

Burns. 2015-9

[10]
Neck burn reconstruction with pre-expanded scapular free flaps.

Burns. 2015-5

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