Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study
Introduction: Flexion contractures of the fingers cause functional and esthetic problems to a burn patient. Various methods of reconstruction have been described, but the usual treatment for these contractures is release and split-skin graft. In this study, technique of distraction histiogenesis was...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Burns |
| Subjects: | |
| Online Access: | http://www.ijburns.com/article.asp?issn=0971-653X;year=2019;volume=27;issue=1;spage=85;epage=89;aulast=Kumar |
| _version_ | 1818850485730279424 |
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| author | Sanjay Kumar Sharadendu Sharma Harish Sharma |
| author_facet | Sanjay Kumar Sharadendu Sharma Harish Sharma |
| author_sort | Sanjay Kumar |
| collection | DOAJ |
| description | Introduction: Flexion contractures of the fingers cause functional and esthetic problems to a burn patient. Various methods of reconstruction have been described, but the usual treatment for these contractures is release and split-skin graft. In this study, technique of distraction histiogenesis was used for the treatment of finger contracture.
Methods: In this study, sixty patients of postburn contracture of proximal interphalangeal (PIP) joint of the hand due to volar skin burns were taken. Thirty patients were treated with distraction technique and thirty patients with release and split-skin grafting. The average age of patient is 20 years.
Results: Both techniques showed improvement in range of motion at PIP joint. Esthetic result was also assessed using score on the Visual Analog Scale, with better score in distraction histiogenesis. There was no recurrence of contracture at 6 months follows-up.
Conclusion: Technique of gradual distraction histiogenesis is safe for treating long-standing flexion contracture of the finger without risk of neurovascular compromise to finger. |
| first_indexed | 2024-12-19T06:49:53Z |
| format | Article |
| id | doaj.art-9a0670b72aab43f0961d66890e4ef67a |
| institution | Directory Open Access Journal |
| issn | 0971-653X |
| language | English |
| last_indexed | 2024-12-19T06:49:53Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Burns |
| spelling | doaj.art-9a0670b72aab43f0961d66890e4ef67a2022-12-21T20:31:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Burns0971-653X2019-01-01271858910.4103/ijb.ijb_3_19Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative studySanjay KumarSharadendu SharmaHarish SharmaIntroduction: Flexion contractures of the fingers cause functional and esthetic problems to a burn patient. Various methods of reconstruction have been described, but the usual treatment for these contractures is release and split-skin graft. In this study, technique of distraction histiogenesis was used for the treatment of finger contracture. Methods: In this study, sixty patients of postburn contracture of proximal interphalangeal (PIP) joint of the hand due to volar skin burns were taken. Thirty patients were treated with distraction technique and thirty patients with release and split-skin grafting. The average age of patient is 20 years. Results: Both techniques showed improvement in range of motion at PIP joint. Esthetic result was also assessed using score on the Visual Analog Scale, with better score in distraction histiogenesis. There was no recurrence of contracture at 6 months follows-up. Conclusion: Technique of gradual distraction histiogenesis is safe for treating long-standing flexion contracture of the finger without risk of neurovascular compromise to finger.http://www.ijburns.com/article.asp?issn=0971-653X;year=2019;volume=27;issue=1;spage=85;epage=89;aulast=Kumardistraction histiogenesispostburn contracture of the proximal interphalangeal jointrange of motionrelease and split-skin graft |
| spellingShingle | Sanjay Kumar Sharadendu Sharma Harish Sharma Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study Indian Journal of Burns distraction histiogenesis postburn contracture of the proximal interphalangeal joint range of motion release and split-skin graft |
| title | Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study |
| title_full | Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study |
| title_fullStr | Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study |
| title_full_unstemmed | Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study |
| title_short | Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study |
| title_sort | management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting a comparative study |
| topic | distraction histiogenesis postburn contracture of the proximal interphalangeal joint range of motion release and split-skin graft |
| url | http://www.ijburns.com/article.asp?issn=0971-653X;year=2019;volume=27;issue=1;spage=85;epage=89;aulast=Kumar |
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