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Serial casting: a method for treating burn contractures.

G B Bennett1, P Helm, G F Purdue

  • 1Parkland Memorial Hospital, Dallas, Texas.

The Journal of Burn Care & Rehabilitation
|November 1, 1989
PubMed
Summary
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Serial casting effectively treats burn contractures, improving range of motion by 54% in patients resistant to other therapies. This method offers immediate results, minimal complications, and may reduce the need for surgery.

Area of Science:

  • Orthopedics
  • Burn Rehabilitation
  • Physical Therapy

Background:

  • Burn contractures often resist traditional treatments like paraffin therapy, massage, exercise, and splinting.
  • Limited range of motion significantly impacts patient function and quality of life after burns.

Observation:

  • Serial casting was applied to 35 joints in 15 burn patients with contractures.
  • This technique was employed for cases unresponsive to conventional therapeutic interventions.

Findings:

  • Serial casting achieved a mean increase of 54% in the range of motion.
  • The treatment yielded immediate positive outcomes with minimal complications.
  • Patients reported good acceptance, and casts were easily applied, proving effective even in noncompliant individuals.

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Implications:

  • Serial casting presents a viable, effective alternative for managing burn contractures.
  • This conservative approach may delay or obviate the necessity for surgical interventions.
  • The findings support the integration of serial casting into standard burn care protocols.