Clinical profile of patients with post burn contracture
DOI:
https://doi.org/10.18203/2349-2902.isj20185459Keywords:
Profile, Post burn contractureAbstract
Background: Burns are a major, global public health problem, resulting in an estimated 195,000 deaths annually. Most burns occur in low-and middle-income countries, with almost half occurring in the south-east Asia region. The reasons for the high incidence include widespread ignorance of fire prevention, the rapid increase of poor socio-economic conditions, and the persistence of old traditions and customs.
Methods: The study was carried out in Department of Surgery, Himalayan Institute of Medical Sciences, SRH University, Swami Ram Nagar, Dehradun over a period of 12months. Cases of the post burn contractures attended in the O.P.D were included in the study.
Results: A total of 45 patients were included in the study. Of these, 22 (48.8%) were males and 23 (51.2%) were females. Ages ranged from 1 to 55year. Flame burn (20 cases = 44.4%) was the most common type of initial burn insult followed by scald burns (14 cases=31.1%).
Conclusions: The pitfalls in initial burn care that lead to contractures in the patients include the failure to institute adequate surgical management of deep burns, the lack of physiotherapy/ROM exercises, and failure to provide proper anti-deformity splint age. There is need to revisit the prevalent acute burn care practices and establish focused preventive strategies.
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References
Chamania S, Chouhan R, Awasthi A, Sharma A, Sharma P, Agarwal S. Burn rehabilitation: A challenge, our effort. Ind J Burns. 2013;21(1):35-41.
Onuba O, Udoidiok E. The problems and prevention of burns in developing countries. Burns. 1987;13(5):382-5.
Tejerina C, Reig A, Codina J, Safont J, Mirabet V. Burns in patients over 60years old: epidemiology and mortality. Burns. 1992;18(2):149-52.
Gowri S, Naik Vijaya A, Powar R, Honnungar R, Mallapur MD. Epidemiology and outcome of burn injuries. J Ind Acad Forensic Med. 2012;34:312-4.
Walsh K, Nikkhah D, Dheansa B. Burn scar contractures and their management. Plastic and Reconstructive Surgery. 2018. https://www.researchgate.net/profile/Dariush_Nikkhah/publication/259177898_Burn_scar_contractures_their_management/links/0046352a22d23a8a11000000.pdf?inViewer=0andpdfJsDownload=0andorigin=publication_detail. Accessed on Aug 15, 2016.
Adu EJ. Management of contractures: a five-year experience at komfo anokye teaching hospital in kumasi. Ghana Med J. 2011;45(2):39-43.
Egeland B, More S, Buchman SR, Cederna PS. Management of difficult pediatric facial burns: reconstruction of burn-related lower eyelid ectropion and perioral contractures. J Craniofacial Surg. 2008;19(4):960-9.
Schwarz RJ. Management of postburn contractures of the upper extremity. J Burn Care Res. 2007;28(2):212-9.
Kraemer MD, Jones T, Deitch EA. Burn contractures: incidence, predisposing factors, and results of surgical therapy. J Burn Care Rehabilitation. 1988;9(3):261-5.
Suliman MT. Experience with the seven flap-plasty for the release of burns contractures. Burns. 2004;30(4):374-9.
Olabanji JK, Oladele AO. Ame oo challenges of postburn contractures in ile-ife. In: Proceedings from West African College of Surgeons 50th Annual Conference; Nigeria; 2010:114.
Saaiq M, Zaib S, Ahmad S. The menace of post-burn contractures: a developing country’s perspective. Ann Burns Fire Disasters. 2012;25(3):152-61.
Paul AC, Swapan KB, Spronk CA, Niemeijer RP, Spauwen PH. Postburn contracture treatment: a healthcare project in Bangladesh. Burns. 2008;34(2):181-4.
Balumuka DD, Galiwango GW, Alenyo R. Recurrence of post burn contractures of the elbow and shoulder joints: experience from a ugandan hospital. BMC Surg. 2015;15(1):103.
Iwuagwu FC, Wilson D, Bailie F. The use of skin grafts in postburn contracture release: a 10-year review. Plastic Reconstructive Surg. 1999;103(4):1198-204.
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