Classification and treatment of postburn proximal interphalangeal joint flexion contractures in children.
Publication/Presentation Date
5-1-1987
Abstract
Two hundred and sixty-four surgically treated proximal interphalangeal joint flexion contractures in children were reviewed. A classification system on the basis of contracture severity was devised to assess the efficacy of treatment. Contracture severity was determined from preoperative radiographs and physical examination. Eighty-eight percent of the digits were successfully treated (postoperative contracture less than 20 degrees). Unsatisfactory results (12% of digits) were directly proportional to the severity of the contracture and tended to occur in older children with large total body surface burns. The time interval between burn and contracture release did not correlate with contracture severity or therapeutic failure. The most common cause of an unsatisfactory result was failure to fully release the contracture.
Volume
12
Issue
3
First Page
450
Last Page
457
ISSN
0363-5023
Published In/Presented At
Stern, P. J., Neale, H. W., Graham, T. J., & Warden, G. D. (1987). Classification and treatment of postburn proximal interphalangeal joint flexion contractures in children. The Journal of hand surgery, 12(3), 450–457. https://doi.org/10.1016/s0363-5023(87)80022-9
Disciplines
Medicine and Health Sciences
PubMedID
3584895
Department(s)
Department of Surgery
Document Type
Article