Reconstruction of severe hand contractures: An illustrative series

Aim: An overview of a series of severe burn contractures in 44 hands reconstructed over a 20 month period with an easy to follow algorithm. Settings and Design: The series was carried out by a single surgeon at Green Pastures Rehabilitation Centre in Pokhara, Nepal. All patients attending with sever...

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Main Author: S C Tucker
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2011-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=59;epage=67;aulast=Tucker
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author S C Tucker
author_facet S C Tucker
author_sort S C Tucker
collection DOAJ
description Aim: An overview of a series of severe burn contractures in 44 hands reconstructed over a 20 month period with an easy to follow algorithm. Settings and Design: The series was carried out by a single surgeon at Green Pastures Rehabilitation Centre in Pokhara, Nepal. All patients attending with severe burn contractures to the hand were included in the series. Materials and Methods: This is a retrospective review of burn contractures in a total of 44 hands. All the contractures involved limitation of movement by 60 degrees in two or more joints or by 80 degrees in one joint. The decision making process is presented as a flow chart indicating when and which flaps were used. Results: Illustrations demonstrate what was achieved, with all hands obtaining an improvement in function. Conclusions: Although many of these contractures can be dealt with by skin grafting the series clearly illustrates the indications for flap coverage.
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1998-376X
language English
publishDate 2011-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-73f16c46254f485e9cdf314cab6e1b0a2025-08-20T02:06:48ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2011-01-01441596710.4103/0970-0358.81438Reconstruction of severe hand contractures: An illustrative seriesS C TuckerAim: An overview of a series of severe burn contractures in 44 hands reconstructed over a 20 month period with an easy to follow algorithm. Settings and Design: The series was carried out by a single surgeon at Green Pastures Rehabilitation Centre in Pokhara, Nepal. All patients attending with severe burn contractures to the hand were included in the series. Materials and Methods: This is a retrospective review of burn contractures in a total of 44 hands. All the contractures involved limitation of movement by 60 degrees in two or more joints or by 80 degrees in one joint. The decision making process is presented as a flow chart indicating when and which flaps were used. Results: Illustrations demonstrate what was achieved, with all hands obtaining an improvement in function. Conclusions: Although many of these contractures can be dealt with by skin grafting the series clearly illustrates the indications for flap coverage.http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=59;epage=67;aulast=TuckerBurn contractureshand contracturesreconstruction in hand burns
spellingShingle S C Tucker
Reconstruction of severe hand contractures: An illustrative series
Indian Journal of Plastic Surgery
Burn contractures
hand contractures
reconstruction in hand burns
title Reconstruction of severe hand contractures: An illustrative series
title_full Reconstruction of severe hand contractures: An illustrative series
title_fullStr Reconstruction of severe hand contractures: An illustrative series
title_full_unstemmed Reconstruction of severe hand contractures: An illustrative series
title_short Reconstruction of severe hand contractures: An illustrative series
title_sort reconstruction of severe hand contractures an illustrative series
topic Burn contractures
hand contractures
reconstruction in hand burns
url http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=59;epage=67;aulast=Tucker
work_keys_str_mv AT sctucker reconstructionofseverehandcontracturesanillustrativeseries