THE ADVANTAGES OF FREE FULL-LAYER SKIN GRAFTING IN THE ELIMINATION OF POST-BURN CONTRACTURES OF THE SHOULDER AND ELBOW JOINTS IN CHILDREN.

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Abstract

In children, the frequency of thermal burns is higher than in adults. Of course, it depends on the level of inattention of children. The development of science and technology is steadily increasing the number of children suffering from thermal burns. Although the development of medicine reduces the mortality of children suffering from severe thermal burns, it cannot solve the problems associated with the increase in the number of disabilities caused by post-burn complications. Post-burn complications develop in 20-22% of children with thermal burns. Purpose of work: to improve the results of elimination of cicatricial contractures of the shoulder and elbow joints in children. Materials and methods of research: In the article in 2019-2022. the postoperative results of 72 children with complications caused by burns of the shoulder and elbow joints in the Department of Maxillofacial and Plastic Surgery of the Children's Multidisciplinary Medical Center of Andijan region are presented. studied. Results and discussion: 25 children were treated with traditional skin plasty using a dermatome for post-burn cicatricial contractures of the shoulder and elbow joints. Results were discussed between 3 and 6 months. Good functional and cosmetic results were achieved in 21 (84%) patients. 47 pediatric patients underwent skin resection with a free flap for post-burn cicatricial contractures of the shoulder and elbow joints, good functional and cosmetic results were achieved in 45 (96%) patients.

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List of references

Азолов В.В., Александров Н.М., Петров С.В. Реконструкция пальцев при последствиях термических поражений кисти и предплечья// Комбустиология на рубеже веков: Тез.докл. Междунар.конгресс.- Москва, 2000 г. С.183-184. 1. Azolov V.V., Alexandrov N.M., Petrov S.V. Reconstruction of the fingers in the aftermath of thermal lesions of the hand and forearm// Combustiology at the turn of the century: Proceedings of reports. International Congress. - Moscow, 2000, pp. 183-184. https://cyberleninka.ru/article/n/optimizatsiya-hirurgicheskogo-lecheniya-bolnyh-s-posledstviyami-ozhogov-plechevogo-i-loktevogo-sustava-u-detey

Альтшулер Е.М., Лечение глубоких ожогов крупных суставов / Е.М.Альтшулер, и др. // Материалы международного конгресса «Комбустиология на рубеже веков». Москва. - 2000. - С. 132-133; 2. Altshuler E.M., Treatment of deep burns of large joints / E.M. Altshuler, et al. // Proceedings of the international congress "Combustiology at the turn of the century." Moscow. - 2000. - S. 132-133; https://fliphtml5.com/qygfj/uzby/basic/351-380

Мадазимов М.М., Содикова М.А. «Хирургическая коррекция послеожоговых рубцовых деформации плечового и лектового суставов» Хирургия Узбекистана №2, 2002 г. 3. Madazimov M.M., Sodikova M.A. "Surgical correction of post-burn cicatricial deformities of the shoulder and elbow joints" Surgery of Uzbekistan No. 2, 2002. https://www.iupr.ru/_files/ugd/b06fdc_b502e5c2fc7f46c9b609a5b776c8175d.pdf?index=true

Морозов В.Ю. Реконструктивно-востоновительная хирургия при ожогов. М. 2008 г. Morozov V.Yu. Reconstructive and restorative surgery for burns. M. 2008. https://esus.ru/vosstanovitelnaya-hirurgiya-posledstviy-ozhogov

Дмитриев Г.И. Реконструктивно-восстановительная хирургия последствий ожогов// Матер. VIII Всероссийской научно-практ. конф. «Проблемы лечения тяжелой термической травмы». 22-24 сентября 2004г.- Нижний Новгород, 2004.- С.199-200. . Dmitriev G.I. Reconstructive and restorative surgery of the consequences of burns// Mater. VIII All-Russian scientific and practical. conf. "Problems of treatment of severe thermal injury". September 22-24, 2004 - Nizhny Novgorod, 2004. - P. 199-200. https://cyberleninka.ru/article/n/optimizatsiya-hirurgicheskogo-lecheniya-bolnyh-s-posledstviyami-ozhogov-plechevogo-i-loktevogo-sustava-u-detey

Димитриев Г.И., Зольцев Ю.К., и др. Хирургическая реабилитация больных с последствиями ожогов. Мат. Межд. Конф. «Актуальные проблемы термической травмы». 2002 г. Dimitriev G.I., Zoltsev Yu.K., et al. Surgical rehabilitation of patients with consequences of burns. Mat. Int. Conf. "Actual problems of thermal injury". 2002. https://emergency.spb.ru/wp-content/uploads/documents/manh-mag-1-2021-application.pdf

Дмитриев Д.Г., Стручков А.А., Ручин М.В. Активное хирургическое лечение ожогов с повреждением глубоких анатомических структур//Комбустиология на рубеже веков: Междунар конгресс.- Москва, 2000.- С.139-140. D. G. Dmitriev, A. A. Struchkov, and M. V. Ruchin, Russ. Active surgical treatment of burns with damage to deep anatomical structures // Combustiology at the turn of the century: International Congress. - Moscow, 2000. - P. 139-140.

Hultman C.S., Use of scarred flaps and secondary flaps for reconstmctive surgery of extensive burns. Burns Incl. Thermlnj. 2010.

Lickstein L.H., Bentz ML. Reconstruction of pediatric foot and ankle trauma //Craniofac. Surg.- 2003.- Vol.14 (4).- P.559-565.

Uba A.F., Edino S.T., Yakubu A.A. Paediatric burns: management problems in a teaching hospital in north western Nigeria..Burns. 1994.

How to Cite

Ketmonov , A. ., Yulchiyev , K. ., & Abdurakhmanov, F. (2023). THE ADVANTAGES OF FREE FULL-LAYER SKIN GRAFTING IN THE ELIMINATION OF POST-BURN CONTRACTURES OF THE SHOULDER AND ELBOW JOINTS IN CHILDREN. International Journal of Scientific Pediatrics, (3), 14–17. https://doi.org/10.56121/2181-2926-2023-3-14-17
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