THE ADVANTAGES OF FREE FULL-LAYER SKIN GRAFTING IN THE ELIMINATION OF POST-BURN CONTRACTURES OF THE SHOULDER AND ELBOW JOINTS IN CHILDREN.
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.
Keywords:
About the Authors
List of references
E.M.Altshuler, et al. Treatment of deep burns of large joints. Materials of the International Congress “Kombustiology at the turn of the century” Moscow 2000:132–3.
Madazimov M.M., Sadikova M.A. Surgical correction of post-burn scar deformities of shoulder and elbow joints. Surgery in Uzbekistan 2002:3.
Dmitriev G.I. Reconstructive and reconstructive surgery of the consequences of burns// Mater. VIII All-Russian Scientific and Practical Conference “Problems of treatment of severe thermal injury”. Nizhniy Novgorod 2004:199–200.
Dmitriev D.G., Struchkov A.A., Ruchin M.V. Active surgical treatment of burns with damage to deep anatomical structures. Kombustiology at the Turn of the Century: International Congress- Moscow 2000:139–40.
Hyakusoku H, Okubo M, Suenobu J, Fumiiri M. Use of scarred flaps and secondary flaps for reconstructive surgery of extensive burns. Burns Incl Therm Inj 1986;12:470–4. https://doi.org/10.1016/0305-4179(86)90071-9.
Lickstein L.H., Bentz ML. Reconstruction of pediatric foot and ankle trauma. Craniofac Surg 2003;14:559–65.
Uba AF, Edino ST, Yakubu AA. Paediatric burns: management problems in a teaching hospital in north western Nigeria. Trop Doct 2007;37:114–5. https://doi.org/10.1177/004947550703700223.
Azolov V.V., Alexandrov N.M., Petrov S.V. Finger reconstruction in the aftermath of thermal lesions of the hand and forearm. Kombustiology at the turn of the century: Thesis.dokl InternationalCongress- Moscow 2000:183–4.
Dimitriev G.I., Zoltsev Yu.K., et al. Surgical rehabilitation of patients with the consequences of burns. Mat Inter Conf “Actual problems of thermal injury” 2002.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.