Chang Z, Shen Z, Sun Y
Department of Burn, Jishuitan Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1995 Jul;33(7):396-9.
From 1979 to 1990, 33 operations on 29 patients with joint burn were performed by early debridement and primary repair with myocutaneous flaps. As a result, 29 wounds healed by first intention. The healing rate of early operations performed within 10 days postburn was 95.2%, and that of the late operations delayed more than 10 days post-burn was only 75.0%. 31 among 33 joints (93.9%) recovered full range of movement, while the other 2 joints ended with only slight limitation of function. We suggest that the early debridement and primary repair with myocutaneous flap is the best choice for treatment of burned bone and joints.
1979年至1990年，对29例关节烧伤患者进行了33次手术，采用早期清创和肌皮瓣一期修复。结果，29处伤口一期愈合。烧伤后10天内进行的早期手术愈合率为95.2%，而烧伤后延迟超过10天进行的晚期手术愈合率仅为75.0%。33个关节中的31个（93.9%）恢复了全范围活动，另外2个关节最终仅有轻微功能受限。我们认为，早期清创和肌皮瓣一期修复是治疗烧伤骨与关节的最佳选择。
