Management of Severe Postburn Contracture Deformity of Both Knee and Ankle Joint by Gradual Skin or Skeletal Traction with STSG to Resurface the Defect
Journal Title: Saudi Journal of Medicine - Year 2018, Vol 3, Issue 5
Abstract
Abstract:Severe postburn contracture deformity of both knee and ankle joint causes severe functional limitations. The mainstay of treatment is early surgical excision of contracture tissue and resurfacing with STSG, local flaps and free flaps.All patients admitted with severe postburn contracture of knee and ankle joint between January 2016 to April 2018. All underwent staged management with excision of contracture tissue followed by continuous skin or skeletal traction. And after correction of residual joint contracture the defect is resurfaced with STSG.In all patient’s correction of flexion deformity was achieved. Graft failure was present in 5 patients, in which 2 required re-grafting. Staged treatment with excision followed by continuous traction and then resurfacing with STSG. Customized post-operative splintage results in full correction with adequate coverage of knee and ankle joint contracture. Keywords: Burn, Contracture, Knee, Ankle, Traction.
Authors and Affiliations
Ashim Kumar Roy, Kamlesh Jhariya, Kaushal Priya Anand, Ankit Kayal
Keywords
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