Clinical profile of patients with post burn contracture

Authors

  • Arnav Tyagi Department of General Surgery, Himalayan Institute of Medical Sciences, SRHU, Dehradun, Uttarakhand, India
  • Manu Rajan Department of Plastic Surgery, Himalayan Institute of Medical Sciences, SRHU, Dehradun, Uttarakhand, India
  • Sanjay Dvivedi Department of General Surgery, Himalayan Institute of Medical Sciences, SRHU, Dehradun, Uttarakhand, India
  • Kinnari A. V. Rawat Department of Plastic Surgery, Himalayan Institute of Medical Sciences, SRHU, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185459

Keywords:

Profile, Post burn contracture

Abstract

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.

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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Published

2018-12-27

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Original Research Articles