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Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

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A Mouse Distraction Osteogenesis Model
04:24

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Published on: November 14, 2018

Distraction histogenesis in ankle burn deformities.

Said Saghieh1, Youssef El Bitar, Ghina Berjawi

  • 1Department of Surgery, Orthopedic Division, American University of Beirut, Lebanon. ss15@aub.edu.lb

Journal of Burn Care & Research : Official Publication of the American Burn Association
|November 25, 2010
PubMed
Summary

The Ilizarov apparatus offers a minimally invasive surgical solution for challenging lower extremity burn contractures, improving function and reducing complications compared to traditional methods.

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Area of Science:

  • Orthopedic surgery
  • Burn reconstruction
  • Microsurgery

Background:

  • Lower extremity joint burn injuries often result in severe contractures, significantly impairing limb function.
  • Treating ankle and foot burn contractures is complex due to limited conservative options and high complication rates with open surgery.
  • Poor soft-tissue coverage and vascularity in burn areas complicate traditional surgical interventions.

Observation:

  • A series of three patients (two adults, one pediatric) with lower extremity burn contractures were treated.
  • The treatment involved minimally invasive surgery utilizing the Ilizarov apparatus.
  • Soft-tissue distraction techniques were employed with the Ilizarov fixator.

Findings:

  • Successful correction of debilitating postburn contractures in the ankle and foot area was achieved.
  • The Ilizarov fixator enabled deformity correction without extensive open procedures.
  • Minimally invasive surgery with the Ilizarov apparatus minimized complications and recurrence rates.

Implications:

  • The Ilizarov apparatus presents a viable and effective alternative for managing complex lower extremity burn contractures.
  • This approach offers improved functional outcomes and reduced morbidity for patients with severe burn injuries.
  • Minimally invasive techniques using the Ilizarov fixator can significantly enhance the reconstructive surgery landscape for burn survivors.