Acta chirurgiae plasticae
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Acta chirurgiae plasticae · Jan 1989
Case ReportsExperiences in the treatment of electrical burns covering deep wounds with various tissue flaps.
From 1979 to 1986, 121 patients with electrical burns were admitted to our, unit (6% of all the burned patients admitted during that period). Of these cases 64 were regarded as having deep burns (e.g. burns which injured muscles, tendons, nerves, bones and capsules of the joints etc.). Thirty-five flaps of various types of tissues (including one free muscle flap, two island fascial flaps, four island skin flaps, three arterial skin flaps, two musculocutaneous flaps and twenty-three random skin flaps) were used for the coverage of deep burns in twenty-seven patients. ⋯ The swollen and hardened regions of the skin of involved extremities generally corresponded to the areas of necrotic muscle tissue at about three days after the injuries or later. This was used as a reference to indicate where to place or extend the exploratory incisions. We frequently preserved denatured peripheral nerves and tendons, because these injured structures often later regain their functions partially or completely with a reliable coverage.(ABSTRACT TRUNCATED AT 400 WORDS)
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Acta chirurgiae plasticae · Jan 1989
Case ReportsSurgery for adduction contracture of the thumb after burn.
The paper generalizes experience obtained from surgical treatment of adduction contracture of the thumb after burn. These operations were performed on 171 hands. ⋯ The issue under discussion is the choice of a suitable technique for repairing the thumb adduction contracture and other hand deformities. The repair of severe thumb adduction contracture significantly improves occupational and social rehabilitation of patients with severe hand deformities.