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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Burn Injuries01:22

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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.
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Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
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Versatility Of Square Flaps In Post-Burn Contractures Involving Upper Limb.

G Dutta1, S Dey2, S Singh3

  • 11RG Kar Medical College and Hospital, Kolkata, India.

Annals of Burns and Fire Disasters
|November 8, 2021
PubMed
Summary
This summary is machine-generated.

The square flap technique effectively treats mild to moderate upper limb post-burn contractures, offering a satisfactory range of motion and low recurrence. Surgeons reported high satisfaction, with most patients also pleased with the results.

Keywords:
axillaryburncontractureelbowfingersquare flap

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Burn Management

Background:

  • Post-burn contractures significantly limit upper limb function.
  • Various surgical techniques exist, with Z-plasty and split-thickness skin grafts (SSG) being common.
  • The square flap technique's efficacy for these contractures requires further assessment.

Purpose of the Study:

  • To evaluate the effectiveness of the square flap technique for upper limb post-burn contractures.
  • To assess range of motion, aesthetic outcomes, and patient/surgeon satisfaction.
  • To determine the recurrence rate of contractures treated with the square flap.

Main Methods:

  • Eleven patients with twelve upper limb contractures (axilla, elbow, finger) underwent release using the square flap technique.
  • Post-operative follow-up lasted at least six months.
  • Outcomes measured included range of motion, aesthetic results, patient satisfaction, and surgeon satisfaction.

Main Results:

  • All patients achieved a satisfactory post-operative range of motion.
  • No recurrence of contractures was observed.
  • Seven out of eleven patients were satisfied, and four were somewhat satisfied.
  • Surgeons reported satisfaction in all cases.

Conclusions:

  • The square flap technique is a reliable and straightforward option for treating mild to moderate post-burn contractures.
  • It is particularly effective for contractures of the axillary folds, elbow, and fingers.
  • The technique demonstrates a low recurrence rate and positive functional outcomes.