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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...

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Articles linked to this work by shared authors, journal, and citation graph.

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A Gap in Knowledge: Patient Perspectives and Barriers to Sunscreen Use after Burn Injury.

Journal of burn care & research : official publication of the American Burn Association·2026
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What gets measured gets done - Why chronic conditions after burn injury must be measured.

Burns : journal of the International Society for Burn Injuries·2026
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Post-burn Scar Contracture: Inconsistent Definitions Limit Comparability and Burden Estimation.

Plastic and reconstructive surgery·2026
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Comparative Efficacy of Hypochlorous Acid and Mafenide Acetate in Reducing Infection Rates in Postoperative Burn Patients: A Retrospective Cohort Study.

Journal of burn care & research : official publication of the American Burn Association·2026
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Disparities in Burns Research Authorship in Burn-Specific Journals: Evidence from Low- and Middle-Income Countries.

Journal of burn care & research : official publication of the American Burn Association·2026
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Flow, Resistance, and Turbulence: Elucidating the Hemodynamics of Free Flaps.

Journal of reconstructive microsurgery·2026

Related Experiment Video

Updated: Jul 3, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

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Classification Systems & Clinical Outcomes of Axillary Burn Contracture: A Systematic Review & Meta Analysis.

Gina M Frigic1, Aaron J Yeh1, Mare G Kaulakis2

  • 1Northeast Ohio Medical University, Rootstown, OH, United States.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|July 1, 2026
PubMed
Summary

Flap-based reconstructions for axillary burn contractures show lower recurrence and better range of motion than skin grafts. Standardized reporting is needed for evidence-based surgical choices.

Keywords:
[axillary burn contracture][burn contracture release][contracture recurrence][functional outcome][reconstructive surgery]

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Area of Science:

  • Plastic Surgery
  • Burn Reconstruction
  • Orthopedic Surgery

Background:

  • Axillary burn contractures significantly impair patient mobility and quality of life.
  • Current management lacks standardized data comparing reconstructive techniques and classifications.
  • Optimal surgical strategies remain unclear due to limited comparative outcome data.

Purpose of the Study:

  • To systematically review and synthesize evidence on surgical treatments for axillary burn contractures.
  • To compare recurrence rates and functional outcomes across different reconstructive techniques.
  • To identify limitations in current research and suggest improvements for future studies.

Main Methods:

  • Systematic review of PubMed, Embase, and Web of Science for studies on axillary contracture surgery.
  • Data extraction and quality assessment by two independent reviewers.
  • Meta-analysis of recurrence rates and qualitative synthesis of functional outcomes.

Main Results:

  • 62 studies (1602 patients) met inclusion criteria; most were observational.
  • Pooled recurrence rate was 13.0% (95% CI: 10.7-15.8) with no heterogeneity.
  • Flap reconstructions yielded greater abduction gains (≈82°) than skin grafts (≈52°).

Conclusions:

  • Flap-based techniques appear superior to skin grafting for axillary burn contractures regarding recurrence and range of motion.
  • Inconsistent classification and outcome reporting hinder direct comparisons.
  • Standardized classification, quantitative metrics, and follow-up are crucial for evidence-based selection.