Title: Study about the Effectiveness of Serial Stretching in Post Burn Elbow and Knee Flexion Contracture

Authors: Ahamed Rafeeq Meeran, M.Radhakrishnan, Edwin Emperor Cyril Raj, Rajesh Kanniah, Manimegalai Radhakrishnan, Suja S R, Leeja Latheef L

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i1.137

Abstract

INTRODUCTION

Burn injury is a systemic illness and its severity is usually assessed, if not by patient’s survival, by the consequence of the burn injury i.e. scar hypertrophy, contracture and structural deform-ities due to loss of body components. Body deformity is closely related to the magnitude of the injuries i.e. extend and depth of injury, mode of intervention, physiotherapy and follow-up care. Formation of Scar tissue at the wound site and contraction of the scar tissue are the normal consequence of an injury. Although the exact mechanism accounting for the sequential change in wound healing and scar formation remain incompletely understood, wounds with infection and or allowed to heal spontaneously tend to form scar that are thickened and contracted circumferentially, mediated by various fibrogenic cytokines especially TGFâ.

References

1.      Pathophysiology of the burn scar –Hal K .Hawkins and Clifford T . Pereira - Total burn care-third edition, 606-617.

2.      Molecular and cellular basis of hypertrophic scarring – Paul g. Scott, Aziz Ghahary, Jianfei Wang, and Edward E. Tredget. Total burn care - Total burn care-third edition - 596 - 605.

3.      Wound healing- David G. Greenhalgh. Total burn care-third edition. 578 - 591.

4.      Comprehensive rehabilitation of the burn patient – Michael A. Serghiou, Shelia Ott, Scott Farmer, Dan Morgan, Pam Gibson, and Oscaar E. Suman. Total burn care-third edition. 620 -649.

5.      Over review of burn reconstruction –Ted Huang. Total burn carethird edition. 674 - 686.

6.      Management of the contractural deformities involving the axilla, elbow, hip, knee, and ankle joints in the burn patient.-Ted Huang . Total burn care-third edition. 727 - 740.

7.      Larson Dl Abston S, Evans Eb et al. Contractures and scar formation in the burn patient. Clincs plastic surgery 1974, 1:653- 666.

8.      Huang TT, Blackwell Sj, Lewis sr. ten years of experience in managing patients  with burn contractures of the axilla, elbow, wrist and knee joints. Plastic reconstructive surgery 1978,61:70-76.

9.      Linaris ha, larson dl, willis glastaum ba. Historical notes on the use of pressure in the treatment of hypertrophic scar or keloids. Burns 1993,19:17-21.

10.  J.C.Y. Cheng, J.H. Evans, K.S. Leung, J,A Clark, TT.C. Choy. P.C. Leung-pressure therapy in the treatment of post burn hypertrophic scar- A critical look into its usefulness and fallacies by pressure monitoring. Burns 10,no-3, 154-163.

11.  Baur P.S. Larson, D.L, Stacey T.R.,. et al, 1976. Ultrastructural analysis of pressure treated human hypertrophic scars. Trauma, 16,958.

12.  Kischer. C.W., Shetlar M.R. and Shetlar C.L., 1975., Alteration of hypertrophic scar induced by mechanical pressure Arch dermatol 111,60.

13.  Non pressure treatment of hyperrtropic scar –K.J.Quinn, J.H.Evans, J.M. Courtney and J.D.S. Gaylor.,Burns 1985, 102-108.

14.  Batdorf J.W.;Cammack K.V. and Colquitt R.D. -1969. the silicon dressing management of the burnt hand arch.surgery 98,469.

15.  Weeder R.S., Brooks H.W. and Boyer A.S. 1967,silicon immersion in the care of burns Plast. reconstructive surgery 39.256.

16.  Perkins K. Davey R.B and Wallis K.A,1982 silicon gel; a new treatment for burn scars and contractures . burns 9 201.

17.  Collagen morphology in the human skin and scar tissue; no adaptations in response to mechanical loading at joints-Pal P.M.Van Zuijlen,Joris J.B.Ruurda, Henka. Van veen-Burns 29, 2003, 423-431.

Corresponding Author

Edwin Emperor Cyril Raj

Associate Professor, Dept of Plastic and Reconstructive Surgery,

Kanyakumari Government Medical College,

Asaripallam, Nagercoil, Tamilnadu, India