烧伤后下肢严重瘢痕挛缩的治疗

Management of severe postburn scar contracture in the lower extremities

目的 总结烧伤后下肢严重瘢痕挛缩的临床治疗经验。 方法 视挛缩程度切除 6 0例烧伤后下肢严重瘢痕挛缩患者的、踝部瘢痕组织 ,用牵引、植皮等方法修复挛缩畸形。 结果 本组患者通过持续牵引、植皮后 ,患部活动功能均获得恢复。 结论 严重关节挛缩畸形的患者采用瘢痕切开松解、持续牵引的方法治疗 ,无需行肌腱移植与延长术 ,功能恢复良好。

Objective To summarize the clinical experience in the management of severe postburn scar contracture in the lower extremities. Methods The scars in popliteal fossa and ankle joint were excised. Traction and skin grafting were employed in the management of contracture deformity in these areas. Results Severe postburn scar contracture deformity in sixty postburn patients could be corrected by constant traction and skin grafting. Conclusion Scar excision and lysis with constant traction might be an optimal method in the management of severe postburn scar contracture deformity of joints in the lower extremities and satisfactory results could be obtained without tendon grafting and elongation.