Document Detail


Z-lengthening and gastrocnemius muscle flap in the management of severe postburn flexion contractures of the knee.
MedLine Citation:
PMID:  9680025     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five patients with seven severe flexion contractures after burn were treated. The problems confronted at the time of release of these contractures were bowstringing of contracted neurovascular bundles and hamstring tendons. These problems were overcome by Z-lengthening of tendons to achieve nearly normal extension. The medial head of the gastrocnemius muscle and local adipofascial flaps were used for coverage of exposed tendons and neurovascular bundles. Complete correction with full range of active motion of the knee joint was achieved in all of the patients after physiotherapy with no significant complication. We recommend this procedure routinely for patients with severe postburn flexion contractures of the knee with shortened tendons and neurovascular bundles.
Authors:
N A Chowdri; M A Darzi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  45     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-08-12     Completed Date:  1998-08-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  127-32     Citation Subset:  AIM; IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Burns / complications*,  physiopathology
Child
Contracture / etiology,  physiopathology,  surgery*
Female
Humans
Knee / physiopathology,  surgery*
Male
Middle Aged
Range of Motion, Articular
Surgical Procedures, Operative / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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