Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery · 2014
[The application of delayed skin grafting combined traction in severe joint cicatricial contracture].
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Xu Zihan, Zhang Zhenxin, Wang Benfeng, Sun Yaowen, Guo Yadong, Gao Wenjie, Qin Gaoping
Аннотация
OBJECTIVE: To investigate the effect of delayed skin grafting combined traction in severe joint cicatricial contracture.
METHODS: At the first stage, the joint cicatricial contracture was released completely with protection of vessels, nerves and tendons. The wound was covered with allogenetic skin or biomaterials. After skin traction for 7-14 days, the joint could reach the extension position. Then the skin graft was performed on the wound. 25 cases were treated from Mar. 2000 to May. 2013.
RESULTS: Primary healing was achieved at the second stage in all the cases. The skin graft had a satisfactory color and elasticity. Joint function was normal. All the patients were followed up for 3 months to 11 years with no hypertrophic scar and contraction relapse, except for one case who didn' t have enough active exercise on shoulder joint.
CONCLUSION: Delayed skin grafting combined traction can effectively increase the skin graft survival rate and improve the joint function recovery.
METHODS: At the first stage, the joint cicatricial contracture was released completely with protection of vessels, nerves and tendons. The wound was covered with allogenetic skin or biomaterials. After skin traction for 7-14 days, the joint could reach the extension position. Then the skin graft was performed on the wound. 25 cases were treated from Mar. 2000 to May. 2013.
RESULTS: Primary healing was achieved at the second stage in all the cases. The skin graft had a satisfactory color and elasticity. Joint function was normal. All the patients were followed up for 3 months to 11 years with no hypertrophic scar and contraction relapse, except for one case who didn' t have enough active exercise on shoulder joint.
CONCLUSION: Delayed skin grafting combined traction can effectively increase the skin graft survival rate and improve the joint function recovery.