For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
2,769
views
21
references
 Top references
cited by
29
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    16
    shares
      396
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Post-burn scars and scar contractures

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The mortality and morbidity from burns have diminished tremendously over the last six to seven decades. However, these do not truly reflect whether the victim could go back to society as a useful person or not and lead a normal life because of the inevitable post-burn scars, contractures and other deformities which collectively have aesthetic and functional considerations. This article gives an overview of the post-burn scars and scar contractures, especially their prevention, minimisation and principles of management.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          The mechanism of skin graft contraction: an update on current research and potential future therapies.

          Caroline Harrison, Sheila MacNeil (2008)
          Skin graft contraction is a common and intractable problem. The current treatments focus on mechanical opposition of contractile forces using splints and on compression of the grafted skin with pressure garments. For the patients, this causes significant morbidity with restriction of joint mobility and often requires multiple episodes of corrective surgery. Despite 50 years of research in this area, treatment and prevention of graft contraction have progressed very little and understanding of the underlying mechanism remains poor. This article reviews the clinical problem and the approaches used to prevent or treat graft contracture. It also considers to what extent we currently understand the cellular basis of graft contracture, based on in vitro models of skin contraction and in vivo observation of patients.
          Article 0 comments Cited 35 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            The use of skin grafts in postburn contracture release: a 10-year review.

            Machelle D. Wilson, F B Bailie, Fortune Iwuagwu (1999)
            Postburn scarring and contracture affecting function remain the most frustrating late complications of burn injury. Various techniques are used to release contractures; the choice depends on their location and/or the availability of unaffected skin adjacent to the contracture or elsewhere. A retrospective review was carried out of the case notes of patients who had skin grafting for the release of postburn contracture at the Burns Unit, City Hospital, Nottingham between May of 1984 and August of 1994 to evaluate the experience over this period. Information was obtained about the burn injury, contracture site, interval between burn and release of contracture, indication, age at first release, intervals between releases, operative details (donor and graft sites), complications and nonoperative treatment, and follow-up to the end of the study period. A total of 129 patients underwent skin grafting for release of contractures as opposed to any other method of correction. Full-thickness skin grafts were used in 81 patients (63 percent) and split-thickness skin grafts in 26 (20 percent). Twenty-two patients (17 percent) had both types used on different occasions. Flame burns (41 percent) were the most common causes, followed by scalds (38 percent). Two hundred thirty-nine sites of contracture were released, with the axilla (59) and the hand/wrist (59) being the most common sites involved, followed by the head/neck region (42). It was found that for the same site, release with split-thickness skin grafts was associated with more rereleases of the contracture than with full-thickness skin grafts. Also, the interval between the initial release and first rerelease was shorter than with full-thickness skin grafts (p < 0.048). It was also noted that children required more procedures during growth spurts, reflecting the differential effect of the growth of normal skin and contracture tissue. Patients reported more satisfaction with texture and color match with the full-thickness skin grafts. There was comparable donor-site and graft morbidity with both graft types. The use of skin grafts is simple, reliable, and safe. Whenever possible, the authors recommend the use of full-thickness skin grafts in preference to split-thickness skin grafts in postburn contracture release.
            Article 0 comments Cited 18 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Silicones in the rehabilitation of burns: a review and overview.

              K Stappaerts, Odile van den Heuvel, Johannes H Winde … (2001)
              This article gives an overview of the use of silicones in the treatment and prevention of hypertrophic (burn related) scars. Of all non-invasive treatment modalities the use of continuous pressure and occlusive contact media, e.g. silicones, seem to be generally accepted as the only ones that are able to manage hypertrophic scarring without significant side-effects. A summary of the current opinions of the assumed working mechanisms of pressure as well as silicones is given. The use of silicones, either alone or in combination with pressure, is discussed. The recent development of custom made silicone devices has led to combinations of both modalities. Some of these, including the inflatable silicone insert systems (ISIS), are shown and discussed.
              Article 0 comments Cited 14 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Plast Surg
                Journal ID (publisher-id): IJPS
                Title: Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
                Publisher: Medknow Publication (India )
                ISSN (Print): 0970-0358
                ISSN (Electronic): 1998-376X
                Publication date (Print): September 2010
                Volume: 43
                Issue: Suppl
                Pages: S63-S71
                Affiliations
                Departments of Burns, Plastic, Maxillofacial & Microvascular Surgery, Lok Nayak Hospital & Associated Maulana Azad Medical College, New Delhi – 110 002, India
                Author notes
                Address for correspondence: Dr. Arun Goel, House No. 1, Sukh Vihar, Parwana Road, New Delhi – 110 051, India. E-mail: dragoel@ 123456hotmail.com
                Article
                Publisher ID: IJPS-43-63
                DOI: 10.4103/0970-0358.70724
                PMC ID: 3038392
                PubMed ID: 21321660
                SO-VID: df888669-2081-4cd9-9310-4615fec0caa2
                Copyright © © Indian Journal of Plastic Surgery
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Review Article

                ScienceOpen disciplines: Surgery
                Keywords: post-burn scars,release and cover,burns,contractures
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: post-burn scars, release and cover, burns, contractures

                Comments

                Comment on this article

                scite_

                Similar content396

                See all similar

                Cited by29

                See all cited by

                Most referenced authors111

                See all reference authors