Effect of early plastic surgery of functional sites on scar contracture deformity and joint dysfunction in patients after wound healing of deepⅡdegree burn

ZHANG Hui-tang; YANG Chong-zhi; CHAI Yu-lan

doi:10.3969/j.issn.1009-4237.2015.05.019

Abstract：Objective To investigate the effect of early plastic surgery of functional sites on scar contrac-ture deformity and joint dysfunction in patients after wound healing of deepⅡdegree burn.Methods A total of 40 patients with deepⅡdegree burn after wound healing underwent early plastic surgery of functional sites in our hos-pital from Apr.2010 to Apr.2013 were selected with 22 cases as the study group and 18 cases as the control group. Patients in the control group received conventional treatment and functional exercise while patients in the study group received additional treatment of removal of scar tissues and transplantation of thick flaps as well as postoperative functional exercises.Differences of effects in the two groups after treatment were compared.Results Thirty-six burned joints in the study group achieved a survival rate of up to more than 90%after early surgical orthopedic treat-ment.The survival rate of hand and shoulder site was relatively higher.On the third and sixth months after surger-y,the difference of joint function restoration between the two groups was not significantly different(P>0.05).On the twelfth months after surgery,the joint function restoration of patients in the study group was significantly better than that of patients in the control group(P<0.05).This showed that the long-term effect of early plastic surgery was good.Twelve months after surgery,the distribution of efficacy of the study group reached 100%,which was sig-nificantly better than that of the control group(80.65%,P<0.05).Conclusion Early plastic surgery of functional sites can effectively improve joint dysfunction induced by scar contracture in the affected area.