IP International Journal of Aesthetic and Health Rejuvenation

Reconstruction of post burns contractures: an observational study of skin grafts versus local flaps to cover the wound after contracture release

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Article Type : Original Article

Author Details: Ankit Choyal,Sanjay Kucheria*

Volume : 4

Issue : 2

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 37

Article End Page : 41

Abstract

Background: An extensive burn is the most devastating injury a person can sustain. Survival is no doubt the immediate concern, but post burn contractures are also important to consider as restoration to pre-injury status, and return to society becomes important for the victim and the treating team. So here the aim was to observe the outcomes of different contractures treated with with different modalities.
Materials and Methods: The study was a Prospective observational study carried out at C.R.G.H. & R.D. gardi medical college, ujjain, (M.P.) between January 2018 to April 2019.  Sample size was 67 patients which included all the patients who were operated for post burn contractures.
Results: The burn contractures occured after Flame burns were 73% followed by scald burn 14.9 % .We used STSG in 35 patients, FTSG in 14 patients and Flaps in 18 patients. Post operatively outcomes were assessed based on their color, contour, texture, infection, graft loss, recontracture and ROL.
Conclusions: The lack of proper initial burn management, anti-deformity splinting and physiotherapy leads to the burn contractures. Due to easy availibity and safe procedure STSG was most commonly performed, but aesthetic results appears to be better achieved with Local flaps and FTSG than STSG. Also graft procedure appears to be more associated with complications.

Keywords: STSG - split thickness skin grafting, FTSG - Full thickness skin grafting, ROL - Range of motion, PBC - Post burn contractures, Recontracture, Plasty.

Doi No:-10.18231