Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey.
Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Adnan Menderes University, Aydın, Turkey.
J Plast Surg Hand Surg. 2020 Apr;54(2):120-129. doi: 10.1080/2000656X.2020.1729777. Epub 2020 Feb 24.
The aim of the study was to evaluate postburn contracture reconstructions caused by high temperature such as tandir. The records of our 58 patients who were operated for burn contracture between 2008 and 2018 were retrospectively reviewed. Duration elapsed after the burn, localization of contracture, surgery applied, and the recurrence rates were recorded. McCauley classification was used to evaluate the severity of hand contractures. One hundred and thirty-seven contracture release operations were performed in 45 hands in 40 cases. Five patients had bilateral hand contractures. One hundred and sixty-three (84.9%) surgeries out of total 192 contracture release surgery were applied to the hand and foot region. FTSG alone was the most common method of treatment. Z-plasty was used the most frequently by our team as the flap surgery. Tissue damage is more severe due to very high temperature of the tandir and as a result, more frequent and heavier burn contracture occurs on hands and feet than other burn etiologies develops, and reconstructive operations are needed more frequently.
本研究旨在评估高温（如坦迪尔炉）引起的烧伤后挛缩畸形的重建。回顾性分析了 2008 年至 2018 年间因烧伤挛缩接受手术的 58 例患者的病历。记录烧伤后时间、挛缩部位、手术应用及复发率。采用 McCauley 分类评估手部挛缩的严重程度。40 例 5 例患者的 45 只手进行了 137 次挛缩松解手术。5 例患者为双手挛缩。192 例挛缩松解手术中，163 例（84.9%）应用于手部和足部。单纯游离皮片移植术（FTSG）是最常见的治疗方法。我们团队最常使用的皮瓣手术是 Z 成形术。由于坦迪尔炉的温度非常高，组织损伤更严重，因此手部和足部比其他烧伤病因更容易发生更频繁和更严重的烧伤挛缩，需要更频繁地进行重建手术。
