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KMID : 0853020080110010001
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Journal of Korean Burn Society
2008 Volume.11 No. 1 p.1 ~ p.4
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Amputation Rehabilitation in Burn Injury
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Seo Cheon-Hoon
Jang Ki-Un
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Abstract
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Electrical burn injuries are more likely to lead to amputation than any other types of burns. Significant damage occurs as
electrical current passes through nerve tissue, vascular tissue, and other deep structures. The current can cause destruction of cells, coagulation of tissues, thrombosis of blood vessels, neuropathies, and tissue necrosis. Other types of
burn injuries such as thermal and contact burn may necessitate amputations if the wound is very deep or has associated
tissue trauma. Some amputations, however, can be the consequence of an infection. People with finger/toe, transradial, transtibial, and transhumeral amputations are most frequently seen in burn rehabilitation. The functional outcome of adults with unilateral lower extremity amputation depends on amputation level, as well as the individual’s general health. Ambulation with a prosthesis is slower and consumes more energy per distance than able-bodied gait. People fitted with an unilateral upper extremity prosthesis can accomplish activities of daily living, although many tasks can also be done one-handed. Patients with burns who require limb amputation may have complications that delay prosthetic fitting and training as a result of multiple wound or scar sites, skin grafting on the residual limb, repeated surgical procedures, and burn-induced catabolic atrophy. Individuals with burns are also susceptible to the same postoperative complications faced by any patient with a new amputation: edema, phantom pain and formation of neuroma or bony spur. Patients with amputation as a result of electrical injury may be susceptible to the formation of bone spurs. Any of these complications may intensify discomfort or the amount of work and time required for prosthetic training, which can be reasons for limited use or rejection of the prosthesis. Despite these concerns, patients with burn related amputations are successfully rehabilitated with standard protocols. (Journal of Korean Burn Society 2008;11:1-4)
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KEYWORD
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Burn, Amputation, Prosthesis, Rehabilitation
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