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KMID : 0358819880150010083
Journal of Korean Society of Plastic and Reconstructive Surgeons
1988 Volume.15 No. 1 p.83 ~ p.89
CLINICAL OBSERVATION ON POSTOPERATIVE RECOVERY OF RANGE OF MOTION IN BURN CONTRACTED HANDS
¿ÀÀç¿í/Oh, Jae Wook
°­¾çÁÖ/Á¤¿ëÈÖ/Kang, Yang Joo/Jung, Yong Whie
Abstract
Burns of the hand are common in patients with thermal injury. But, because the treatment of bum is usually directed toward the life saving and due to the shortage of the knowledge about the postburn deformities, many patients with hand burn are found after development of severe functional impairment.
In department of plastic surgery of Inje College, Baik Hospital, 59 cases of burn scar contractured hands were treated with free skin Draft and aggressive physiotherapy from January of 1984 to December of 1986.
The results are follow;
1) Among the 59 cases of burn contracted hands, 48 cases (81%) were excellent in results.
2) The other 11 cases of fair or poor end results were mainly due to the third degree burn and inadequate splinting after split thickness skin grafting.
3) Age of the patient had close relation to the postoperative functional recovery, the younger the better.
4) The postoperative end results in contracture after electric or flame burn were worse than in contracture after the others.
5) The results of full thickness skin graft were better than that of split thickness skin graft.
6) The time duration from burn injury to skin grafting has an important effect on
postoperative end results, the longer the worse.
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