Giele H P, Currie K, Wood F M, Hansen H
Department of Plastic and Maxillofacial Surgery, Burns Unit, Royal Perth Hospital.
J Burn Care Rehabil. 1995 Nov-Dec;16(6):641-5. doi: 10.1097/00004630-199511000-00014.
This article introduces the concept of early application of pressure therapy as a form of splinting in the pregrafting phase. It is based on the principles of (1) the use of pressure therapy to reduce contraction and hypertrophic scar formation and (2) the knowledge that most wound contraction occurs within the initial few weeks of healing. This idea has most application in facial burns, where wound contraction can be disfiguring and functionally disabling, and in situations where unavoidable delay in debridement and grafting may be present. The idea is illustrated with a case report.
本文介绍了在植皮前期将压力疗法作为一种夹板固定形式早期应用的概念。它基于以下原则：（1）使用压力疗法减少瘢痕挛缩和肥厚性瘢痕形成；（2）多数伤口挛缩发生在愈合最初几周内这一认知。这一理念在面部烧伤中应用最为广泛，因为伤口挛缩可能导致毁容和功能障碍，在清创和植皮不可避免出现延迟的情况下也适用。文中通过一个病例报告对此理念进行了阐释。
